MISS JOY JACKSON (NPI# 1780023283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780023283 |
| Entity Type | Individual |
| Full Name | MISS JOY JACKSON |
| Credential | FNP-C |
| Practice Address |
4152 Baker St Ne Covington GA 30014-1404 |
| Practice Telephone | 7707881077 |
| Practice Fax Number | 7708059329 |
| Mailing Telephone | 7707881077 |
| Mailing Fax Number | 7708059329 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN063451 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801932090 | Joy Lynette Jackson | Licensed Practical Nurse | 19193 Mansfield St, Detroit, MI 48235-2316 | 2007-01-29 |
| 1962972265 | Joy L Jackson | Nurse Practitioner | 3815 River Crossing Pkwy Ste 100, Indianapolis, IN 46240-7766 | 2018-11-29 |
| 1700166691 | Joy Lynn Jackson | Internal Medicine | 3241 Lakeland Hills Blvd, Lakeland, FL 33805 | 2011-08-23 |
| 1699964908 | Joy Marie Jackson | Family Medicine | 15206 Parthenia St, North Hills, CA 91343-5305 | 2007-10-23 |
| 1811931454 | Joy Jackson | Family Medicine | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2006-06-15 |
| Street Address |
4152 BAKER ST NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352185 | Lisa D Miller Md Pediatrics PC | Pediatrics | 4152 Baker St Ne, Covington, GA 30014-1404 | 2005-11-10 |
| 1972155174 | Haley Reynolds | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2019-07-09 |
| 1578949806 | April Webb | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2015-08-10 |
| 1770993560 | Daphnee Leigh Stewart | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2014-05-01 |
| 1801954458 | Lisa Dawn Miller | Pediatrics | 4152 Baker St Ne, Covington, GA 30014-1404 | 2006-12-05 |
| 1528144839 | Alyssa Gamble | Pediatrics | 4152 Baker St Ne, Covington, GA 30014-1404 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040677 | Meredith Katelyn Kanet | Nurse Practitioner | 704 N High St, Covington, OH 45318-1420 | 2020-10-09 |
| 1144834284 | Yvona Butts | Nurse Practitioner | 2963 Fairview Rd, Covington, GA 30016-1125 | 2020-09-05 |
| 1417561002 | Tabria Colston | Nurse Practitioner | 9190 Gallitin Dr Sw, Covington, GA 30014-3034 | 2020-09-01 |
| 1336758622 | Amanda C Rembert | Nurse Practitioner | 2131 Stallings St Nw Unit 585, Covington, GA 30015-2420 | 2020-07-23 |
| 1063020428 | Melanie Marie Cox | Nurse Practitioner | 3792 Kraddle Creek Dr, Covington, GA 30014-7700 | 2020-07-21 |
| 1902437270 | Tina Duncan | Nurse Practitioner | 19405 Helenbirg Rd, Covington, LA 70433-5197 | 2020-01-27 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1942861018 | Trina C Guzan | Nurse Practitioner | 13130 Highway 1085 Ste 100, Covington, LA 70433-6835 | 2019-06-27 |
| 1255894523 | Stephanie Salathe Knapps | Nurse Practitioner | 19262 Township Rd, Covington, LA 70435-9243 | 2019-04-12 |
| 1548721707 | Kimberly Amedee | Nurse Practitioner | 310 Homestead Way, Covington, GA 30014-8299 | 2019-03-28 |
| Find all providers in COVINGTON | ||||
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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.