HEATHER ELIZABETH JACKSON (NPI# 1649602905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649602905 |
| Entity Type | Individual |
| Full Name | HEATHER ELIZABETH JACKSON |
| Credential | ACNP |
| Practice Address |
6286 Pepper Hill St West Bloomfield MI 48322-2301 |
| Practice Telephone | 3134008007 |
| Mailing Telephone | 3134008007 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704214316 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260545 | Heather Jackson | Registered Nurse | 2503 Beneva Rd Unit 8, Sarasota, FL 34232-3602 | 2020-06-23 |
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1487194445 | Heather Jackson | Physical Therapist | 9263 Osborn Rd, Arlington, TN 38002-5922 | 2017-02-24 |
| 1255878203 | Heather Jackson | Nurse's Aide | 1103 Knoxville Hwy, Wartburg, TN 37887 | 2017-01-30 |
| 1053768176 | Heather Jackson | Counselor | 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459-7149 | 2016-05-18 |
| 1851775761 | Heather Jackson | Speech-Language Pathologist | 3780 N Garfield Ave Ste 102, Loveland, CO 80538-2237 | 2015-07-10 |
| 1255734828 | Heather Jackson | Licensed Practical Nurse | 23953 Prairie Rd, Sedro Woolley, WA 98284-8598 | 2014-09-26 |
| 1710933981 | Heather C. Jackson | Occupational Therapist | 974 E Main St, Mayo, FL 32066-5631 | 2006-05-26 |
| 1669090049 | Heather Lee Jackson | Advanced Practice Midwife | 2022 Kelle Dr, Chesterton, IN 46304-8708 | 2020-07-11 |
| 1588282115 | Heather Jackson | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2020-07-09 |
| Street Address |
6286 PEPPER HILL ST |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033277132 | Sandra Oliver-mcneil | Nurse Practitioner | 6450 Farmington Rd Ste 200, West Bloomfield, MI 48322-4457 | 2006-12-04 |
| 1154947323 | Jaykumar Shah | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-23 |
| 1184256380 | Melissa Marie Rife | Nurse Practitioner | 2300 Haggerty Rd Ste 1010, West Bloomfield, MI 48323-2185 | 2020-02-06 |
| 1578050134 | Malgorzata Baumann | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-04-19 |
| 1194250514 | Tzuting Stevens | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2017-04-23 |
| 1215342761 | Lori Ellen Brown | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2014-06-24 |
| 1306285366 | Chiaojou Chiu | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322 | 2013-06-22 |
| 1437407293 | Brian Michael Matyniak | Nurse Practitioner | 6777 W Maple Rd, Henery Ford West Bloofield Hospital, Dept of Surgery, West Bloomfield, MI 48322-3013 | 2012-08-27 |
| 1487902474 | Douglas Clayton Kinney | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2012-08-22 |
| 1306136015 | Krystin Marie Ches | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2011-04-14 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on HEATHER ELIZABETH JACKSON.
| 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.