JACKLYN JACKSON (NPI# 1609291137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609291137 |
| Entity Type | Individual |
| Full Name | JACKLYN JACKSON |
| Practice Address |
5303 S Cedar St Lansing MI 48911-3800 |
| Mailing Address |
812 E Jolly Rd Ste 210 Lansing MI 48910-6821 |
| Practice Telephone | 5173468019 |
| Mailing Telephone | 5173468200 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4707101768 | MI | Nursing Service Providers |
| Street Address |
5303 S CEDAR ST |
| City | LANSING |
| State | MI |
| Zip Code | 48911-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326016411 | Stephen Edward Pittel | Dentist | 5303 S Cedar St, Lansing, MI 48911-3800 | 2006-03-14 |
| 1154937530 | Courtney Leigh Platte | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-09-21 |
| 1174131148 | Tamara Sue Bayless | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-07-16 |
| 1811514797 | Kasey Miles | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-06-26 |
| 1245856483 | Amanda Jimenez-barquero | Pediatrics | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-06-23 |
| 1063038362 | Paige Lancour | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-06-23 |
| 1952920902 | Dhanalakshmi Korganji | Nurse Practitioner | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-04-09 |
| 1063040699 | Jamie Nicole Nyberg | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-03-30 |
| 1043847437 | Maggie Renee Banks | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-03-25 |
| 1437783818 | Cody Shields | Social Worker | 5303 S Cedar St, Lansing, MI 48911-3800 | 2020-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307724 | Kristyn Marie Emery | Registered Nurse | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2020-08-21 |
| 1104461987 | Natasha Hui | Registered Nurse | 2025 S Washington Ave Ste 210, Lansing, MI 48910-0817 | 2019-11-15 |
| 1861820003 | Beth Creamer | Registered Nurse | 812 E Jolly Rd, Suite G-14, Lansing, MI 48910-6818 | 2013-10-25 |
| 1093828030 | Shari A Nussdorfer | Registered Nurse | 3475 Belle Chase Way, Lansing, MI 48911 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
| 1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
| 1508346800 | Colleen Botos | Registered Nurse | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-16 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
| 1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
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| 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.