CYNTHIA DIANE JACKSON


Address: 1315 Camden Way, Unit B, Waukesha, WI 53186-6850
Phone: 2624082606

CYNTHIA DIANE JACKSON (NPI# 1588922934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588922934
Entity Type Individual
Full Name CYNTHIA DIANE JACKSON
Credential LPN
Practice Address 1315 Camden Way
Unit B
Waukesha
WI 53186-6850
Practice Telephone 2624082606
Mailing Telephone 2624082606
Enumeration Date 2012-04-23
Last Update Date 2012-04-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 305199-31 WI Nursing Service Providers

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1619441102 Cynthia Lee Jackson Licensed Vocational Nurse 1646 Best Blvd, Wichita Falls, TX 76301-8144 2019-01-17
1881128601 Cynthia Jackson Student in an Organized Health Care Education/Training Program 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 2017-04-18
1396298451 Cynthia Elaine Jackson Technician, Other 29167 Village Rd, Southfield, MI 48034-1222 2016-07-25
1255734331 Cynthia R Jackson Counselor 3173 Washington Ave, Baton Rouge, LA 70802-2178 2014-10-02
1932534047 Cynthia A Jackson Home Health Aide 2801 Eagle St, Houston, TX 77004-4543 2013-09-08

Office Location

Street Address 1315 CAMDEN WAY
UNIT B
City WAUKESHA
State WI
Zip Code 53186-6850

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295391472 Christine Lowdon Triggs Dentist 21680 West Bluemound Rd, Waukesha, WI 53186 2019-05-14
1881182889 Allure Medical of Wisconsin Pllc Clinic/Center 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 2018-04-25
1316462104 Mary B Mckee Dietitian, Registered 22370 W Bluemound Rd, #102, Waukesha, WI 53186 2017-08-14
1740738343 Rebecca Menelle Physical Therapist 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 2016-09-13
1568919876 Dianne Isnard Physical Therapist W231n1440 Corporate Court, Waukesha, WI 53186 2016-09-02
1982065991 Brandon James Decker Nurse Practitioner 21775 Hillcrest Drive, Waukesha, WI 53186 2016-03-18
1598142937 Sophia Marie Klingbiel Social Worker 1515 Paramount Dr., Waukesha, WI 53186 2015-05-06
1326478165 Glen D Haberman Dentist 141 Wisconsin Avenue, Waukesha, WI 53186 2013-11-14
1487991014 Sara Nicole Francis Counselor 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 2013-01-16
1770862054 Alex Colque, M.d. S.c. Plastic Surgery 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 2011-08-04
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851863880 Jeanet Ebel Licensed Practical Nurse 2314 Kestrel Ln, Waukesha, WI 53189-7748 2019-01-02
1215331087 Kristine Lynn Schuchardt Licensed Practical Nurse 2137a E Broadway Street, Waukesha, WI 53186-8162 2014-10-22
1275805772 Sylvia Castro Licensed Practical Nurse 2046 Cliff Alex Ct S, Apt 2, Waukesha, WI 53189-8100 2012-01-31
1275844078 Sandra Louise Zisky Licensed Practical Nurse 1008 W Cumberland Dr, Waukesha, WI 53188-2944 2010-06-25
1548592629 Cindy Maria Breber Licensed Practical Nurse 21875 Foxhaven Run, Apartment #8, Waukesha, WI 53186-1839 2010-02-01
1992935811 Kristi Kay Corey Licensed Practical Nurse 1018 Buena Vista Ave, Waukesha, WI 53188-3850 2009-07-27
1932352184 Judy Grenz Licensed Practical Nurse 2612 Meadowbrook Rd, Waukesha, WI 53188-1394 2008-11-01
1952559056 Holly Ann Dicarlo Licensed Practical Nurse S62w24372 Townline Rd, Waukesha, WI 53189-9616 2008-09-03
1740483114 Beverly Jane Miller Licensed Practical Nurse 1001 Delafield St, Apt 320, Waukesha, WI 53188 2007-06-06
1700953478 Michael Ray Hill Licensed Practical Nurse 1001 Delafield St Apt 620, Waukesha, WI 53188-3434 2006-11-29
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Competitor

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City WAUKESHA
Zip Code 53186

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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