LISA JACKSON


Address: 1520 E Calhoun St, Anderson, SC 29621-2210
Phone: 8642605090

LISA JACKSON (NPI# 1770027781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770027781
Entity Type Individual
Full Name LISA JACKSON
Credential RN
Practice Address 1520 E Calhoun St
Anderson
SC 29621-2210
Practice Telephone 8642605090
Mailing Telephone 8642605090
Enumeration Date 2016-12-09
Last Update Date 2016-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
44018 SC Nursing Service Providers

Other Providers LISA JACKSON

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1831468420 Lisa Nicole Jackson Licensed Practical Nurse 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 2011-12-28
1992023030 Lisa Jackson Massage Therapist 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 2010-05-13
1487844973 Lisa Nicole Jackson Obstetrics & Gynecology 89-06 135th St, Room 6a, Jamaica, NY 11418 2007-07-31
1497828826 Lisa Lanette Jackson Nurse Practitioner 1117 Chestnut St, Lewisville, AR 71845 2006-11-15
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02
1659980738 Lisa Ann Jackson Counselor 956 E Tabor Ave, Fairfield, CA 94533-4104 2020-07-24

Office Location

Street Address 1520 E CALHOUN ST
City ANDERSON
State SC
Zip Code 29621-2210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574241 Kathryn L Harwick Social Worker 3030 Sc-81, Anderson, SC 29621 2019-08-22
1326517194 Ashlea Bronwen Bates Nurse Practitioner 3424 Clemson Blvd., Anderson, SC 29621 2018-11-21
1770051708 Bailee Vernon Mccarley Nurse Practitioner 800 Fant St, Anderson, SC 29621 2018-11-07
1790278893 Morgan Cutts Speech-Language Pathologist 126 Broadbent Way, Suite A, Anderson, SC 29621 2018-06-13
1427546233 Amanda Coker Burnette Family Medicine 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1205342169 Robert Allen Dameron Jr. Orthopaedic Surgery 130 Longview Drive, Anderson, SC 29621 2017-12-14
1578085411 Michael Jason Bell Contractor 520 Hwy 29 Bypass N, Anderson, SC 29621 2017-07-12
1639629983 Todd E. Hamilton Dentist 1112 Cornelia Road, Anderson, SC 29621 2016-10-11
1760939110 Crystal Vaughn Nurse Practitioner Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 2016-09-01
1992151328 Veronica Williams Non-emergency Medical Transport (VAN) 2314 Old Williamston Road, Anderson, SC 29621 2016-05-04
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548704356 Peggy Jane Wilkie Registered Nurse 1909 Dobbins Bridge Rd, Anderson, SC 29626-1222 2016-12-13
1063956068 Jill Chudyk Registered Nurse 2123 Marchbanks Ave, Anderson, SC 29621-2225 2016-12-09
1326582321 Susan Bailey Registered Nurse 806 Pearman Dairy Rd, Anderson, SC 29625-2616 2016-12-09
1437554771 Deborah Gaillard Registered Nurse 3325 Highway 81 North, Anderson, SC 29621-4437 2014-10-29
1588068357 Ruth Parnell Registered Nurse 1529 Whitehall Rd, Anderson, SC 29625-1917 2014-10-22
1053713172 Denise Ellison Registered Nurse 702 Whitehall Rd, Anderson, SC 29625-2264 2014-09-19
1851835904 Jondrea Speaks Registered Nurse 1401 Bolt Dr, Anderson, SC 29621-6912 2016-12-08
1639574072 Carla Reiter Registered Nurse 1700 S Fant St, Anderson, SC 29624-3321 2014-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841400 Tiffany Holcombe Price Registered Nurse 160 Ivory Key Rd, Saluda, SC 29138-8177 2020-11-05
1437759222 Amy P Etheridge Registered Nurse 3650 Park Avenue Blvd, Mount Pleasant, SC 29466-7242 2020-10-29
1679187421 Natalie Padgett Registered Nurse 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 2020-08-31
1316573678 Amanda Kalinsky Registered Nurse 3100 Carner Ave, North Charleston, SC 29405-3001 2020-03-19
1396395588 Elizabeth Fisher Registered Nurse 409 Airy Springs Rd, Easley, SC 29642-8702 2019-09-19
1194373639 Opal Elaine Sobieszczyk Registered Nurse 42 Isle of Hope, Mt Pleasant, SC 29464-6634 2019-08-28
1740836139 Kellie Elizabeth Baker Registered Nurse 1475 E Liberty St, York, SC 29745-6440 2019-08-13
1871148528 Kelly Jo Childers Registered Nurse 1010 Devinney Rd, York, SC 29745-2127 2019-08-08
1003460668 Laureen Mitchell Registered Nurse 2100 Bull St., Columbia, SC 29201-2104 2019-07-31
1578028791 Brandi Hallman Registered Nurse 300 Matthews Drive, Saluda, SC 29138 2019-02-01
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Competitor

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City ANDERSON
Zip Code 29621

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Dataset Information

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.

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