MACKENZIE BROOKS JACKSON (NPI# 1740896315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740896315 |
| Entity Type | Individual |
| Full Name | MACKENZIE BROOKS JACKSON |
| Practice Address |
46 N Creekside Ct Houston TX 77055-7540 |
| Practice Telephone | 2817440412 |
| Mailing Telephone | 2817440412 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP142710 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755099 | Mackenzie Faith Jackson | Nurse Practitioner | 980 Highway 28 Ste 100, Jasper, TN 37347-3696 | 2020-09-18 |
| 1952947186 | Mackenzie Alysse Jackson | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-11-22 |
| 1235682725 | Mackenzie Jackson | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2016-08-01 |
| Street Address |
46 N CREEKSIDE CT |
| City | HOUSTON |
| State | TX |
| Zip Code | 77055-7540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
| 1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
| 1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
| 1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
| 1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
| 1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
| 1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
| 1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
| 1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
| 1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
| Find all providers in zip 77055 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003444548 | Evan Brietzke | Nurse Practitioner | 5325 Nina Lee Ln, Houston, TX 77092-5211 | 2020-03-30 |
| 1154955060 | Jacob Tyler Parrish | Nurse Practitioner | 10918 Sagevale Ln, Houston, TX 77089-3709 | 2020-02-29 |
| 1609409903 | Francoise Le | Nurse Practitioner | 6411 Fannin St # J1-400, Houston, TX 77030-1501 | 2020-02-15 |
| 1346873650 | Marcus Patrick Bautista | Nurse Practitioner | 6770 Bertner Ave Ste C355, Houston, TX 77030-2604 | 2020-02-14 |
| 1235786161 | Marcia Wilbourn | Nurse Practitioner | 14342 Cranbrook Creek Ln, Houston, TX 77044-6069 | 2019-08-26 |
| 1548815871 | Molly A Varghese | Nurse Practitioner | 10043 Rhiney Ct, Houston, TX 77089-7045 | 2019-08-05 |
| 1801358122 | Elizabeth Duran | Nurse Practitioner | 6720 Bertner Ave # O-520, Houston, TX 77030-2604 | 2019-04-04 |
| 1497213458 | Shealynn Walker | Nurse Practitioner | 3800 Tanglewilde St Apt 1004, Houston, TX 77063-5163 | 2019-03-08 |
| 1568927002 | Lucia Belleza Delapaz | Nurse Practitioner | 6624 Fannin St Ste 1630, Houston, TX 77030-2328 | 2019-02-08 |
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| Find all providers in HOUSTON | ||||
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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.