SEAN JACKSON (NPI# 1720685050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720685050 |
| Entity Type | Individual |
| Full Name | SEAN JACKSON |
| Credential | NP-C |
| Practice Address |
217 Tradewinds Cir Alabaster AL 35007-3019 |
| Practice Telephone | 2052435786 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-148478 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1558989541 | Sean Jackson | Behavioral Analyst | 24124 Cinco Village Center Blvd Ste 200, Katy, TX 77494-8389 | 2020-07-07 |
| 1740756899 | Sean Jackson | Community Health Worker | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2018-10-16 |
| 1518317353 | Sean Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-06-13 |
| 1235593054 | Sean Jackson | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2016-04-07 |
| 1114368917 | Sean Jackson | Dental Hygienist | 111 W 7 Mile Rd, Detroit, MI 48203-1968 | 2013-07-10 |
| 1831468404 | Sean Michael Jackson | Counselor | 1817 Queen Anne Ave N, #409, Seattle, WA 98109-2876 | 2011-12-27 |
| Street Address |
217 TRADEWINDS CIR |
| City | ALABASTER |
| State | AL |
| Zip Code | 35007-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713167 | Jenifer Justice | Nurse Practitioner | 145 Sundance, Alabaster, AL 35007 | 2018-03-15 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| 1104345222 | William Alexander Woodard | Nurse Practitioner | 300 1st Street North Ste. C, Alabaster, AL 35007 | 2017-09-11 |
| 1891219432 | Alabama Dental Professionals, PC | Dentist | 9100 Highway 119, Alabaster, AL 35007 | 2017-07-26 |
| 1316389950 | Wellscripts,inc | Pharmacy | 205 Clover Dale Cir, Alabaster, AL 35007 | 2013-07-24 |
| 1366704991 | Lindsey Estelle Matthews | Pathology | 1004 1st St N Ste 200, Alabaster, AL 35007 | 2012-06-11 |
| 1760707061 | Robert Mcgowin Blake | Massage Therapist | 643 First Street North, Alabaster, AL 35007 | 2010-03-30 |
| 1033371323 | Nopporn Unnoppet | Internal Medicine | 1010 1st Street North, Ste 210, Alabaster, AL 35007 | 2008-06-27 |
| 1881870673 | Renee W Smith | Counselor | 76-b Fulton Spring Dr, Alabaster, AL 35007 | 2008-01-11 |
| 1235334459 | Naomi Hill Washington | Family Medicine | 1000 1st Ave N, Alabaster, AL 35007 | 2007-06-18 |
| Find all providers in zip 35007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 1295361368 | Brenda Ferguson Sample | Nurse Practitioner | 273 King Arthur Pl, Alabaster, AL 35007-9115 | 2020-03-20 |
| 1043713167 | Jenifer Justice | Nurse Practitioner | 145 Sundance, Alabaster, AL 35007 | 2018-03-15 |
| 1104345222 | William Alexander Woodard | Nurse Practitioner | 300 1st Street North Ste. C, Alabaster, AL 35007 | 2017-09-11 |
| 1104226851 | Jennifer Gafnea | Nurse Practitioner | 300 1st St N Ste C, Alabaster, AL 35007-8764 | 2014-09-01 |
| 1013475508 | James Bradley Maddox | Nurse Practitioner | 1000 1st St N, Alabaster, AL 35007-8703 | 2019-03-04 |
| 1649749797 | Anne Townsend Froemming | Nurse Practitioner | 615 1st St N, Alabaster, AL 35007-8892 | 2018-11-19 |
| 1881162436 | Kristen Mcdonald Steele | Nurse Practitioner | 1000 1st St N, Alabaster, AL 35007-8703 | 2018-11-12 |
| 1780129775 | Kirsten Maureen Larsen-vansant | Nurse Practitioner | 1022 1st St N Ste 500, Alabaster, AL 35007 | 2016-12-29 |
| 1639541857 | Leslie Pendergrass | Nurse Practitioner | 1000 1st St N, Alabaster, AL 35007-8703 | 2015-10-27 |
| Find all providers in ALABASTER | ||||
Please comment or provide details below to improve the information on SEAN 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.