JACKIE WILLSON (NPI# 1619393410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619393410 |
| Entity Type | Individual |
| Full Name | JACKIE WILLSON |
| Practice Address |
4400 Bayou Blvd Ste 39b Pensacola FL 32503-1911 |
| Practice Telephone | 8504789701 |
| Practice Fax Number | 8504789750 |
| Mailing Telephone | 8504789701 |
| Mailing Fax Number | 8504789750 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 299994180 | FL | Nursing Service Providers |
| Street Address |
4400 BAYOU BLVD STE 39B |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023435195 | Sarah Wagner | Registered Nurse | 4400 Bayou Blvd Ste 39b, Pensacola, FL 32503-1911 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930665 | Sarah Marie Tran | Registered Nurse | 1600 Governors Dr Apt 1428, Pensacola, FL 32514-9446 | 2020-10-19 |
| 1356970172 | Jennifer Doncost | Registered Nurse | 608 Lost Key Dr Unit 304c, Pensacola, FL 32507-2683 | 2020-04-03 |
| 1811537855 | Kylie Jordan | Registered Nurse | 5149 N 9th Ave Ste G21, Pensacola, FL 32504-8733 | 2020-01-07 |
| 1427609791 | Skye Brownson | Registered Nurse | 24 Marconi Way, Pensacola, FL 32507-7611 | 2019-09-26 |
| 1427600642 | Shakedia Shanta Pope | Registered Nurse | 3050 E Kingsfield Rd, Pensacola, FL 32514-9769 | 2019-07-09 |
| 1770055402 | Kyle Maxwell | Registered Nurse | 5330 Powrie Dr, Pensacola, FL 32504-8483 | 2018-12-19 |
| 1538644257 | Naomi Golino | Registered Nurse | 2120 E Johnson Ave Ste 105, Pensacola, FL 32514-6091 | 2018-09-27 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1811499627 | Sonshine Caregivers/nurse Pros | Registered Nurse | 2110 W Yonge St, Pensacola, FL 32505-5744 | 2018-03-07 |
| 1730535329 | Quennie Lanada Bonney | Registered Nurse | 3224 Mariners Dr, Pensacola, FL 32526-2572 | 2016-05-12 |
| Find all providers in PENSACOLA | ||||
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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.