JACKSON PUBLIC SCHOOLS DBA BLACKBURN CLINIC (NPI# 1780729285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780729285 |
| Entity Type | Organization |
| Organization Name | JACKSON PUBLIC SCHOOLS DBA BLACKBURN CLINIC |
| Practice Address |
1311 W Pearl St Jackson MS 39203-2841 |
| Mailing Address |
662 S President St Jackson MS 39201-5601 |
| Practice Telephone | 6013543346 |
| Practice Fax Number | 6013526436 |
| Mailing Telephone | 6019608705 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EARL WATKINS (SUPERINTENDENT) |
| Authorized Official Telephone | 6019608700 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R629693 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09570093 | 05 |
| Street Address |
1311 W PEARL ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39203-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407136708 | Therapy Staff Solutions | Clinic/Center | 1311 W Pearl St, Jackson, MS 39203-2841 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1083027544 | Debra Williams | Counselor | 514 West Fortification Ave, Jackson, MS 39203 | 2014-06-03 |
| 1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1710022959 | Jackson Public Schools Dba Galloway Clinic | Registered Nurse | 186 Idlewild St, Jackson, MS 39203-1219 | 2007-02-21 |
| 1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
| 1093277428 | Connections Counseling & Consulting LLC | Social Worker | 338 Oak St, Jackson, MS 39203-1810 | 2019-04-04 |
| 1033504816 | Niesha Lasha Gilmore | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2015-03-30 |
| 1255952453 | Innovative Hands of Therapy Services LLC | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2020-04-29 |
| 1588812341 | Deepti Amol Janorkar | Dentist | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2008-09-05 |
| Find all providers in zip 39203 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457782757 | Ashley Greene Brittain | Registered Nurse | 18731 Atomic Rd, Jackson, SC 29831-3456 | 2013-12-12 |
| 1093961302 | Hinds County School District | Registered Nurse | 7255 Gary Rd, Jackson, MS 39272-8947 | 2008-08-18 |
| 1346452406 | Hinds County School District | Registered Nurse | 7241 Gary Road, Jackson, MS 39272 | 2007-05-03 |
| 1609901503 | Jackson Public Schools Northwest Clinic | Registered Nurse | 7020 Hwy 49 N, Jackson, MS 39213 | 2007-02-22 |
| 1295870483 | Jackson Public Schools Timberlawn Clinic | Registered Nurse | 1980 N Siwell Rd, Jackson, MS 39209-9208 | 2007-02-21 |
| 1770628943 | Jackson Public Schools Lester Clinic | Registered Nurse | 2350 Oakhurst Dr, Jackson, MS 39204-4929 | 2007-02-21 |
| 1659527414 | Jackson Public Schools Clausell Clinic | Registered Nurse | 618 S President St, Jackson, MS 39201-5601 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083118723 | Pontotoc City School | Registered Nurse | 140 Education Dr, Pontotoc, MS 38863-2107 | 2018-03-19 |
| 1801266002 | Starkville Oktibbeha Consolidated School District | Registered Nurse | 2926 Sixteenth Section Rd, Starkville, MS 39759-4700 | 2015-09-30 |
| 1467859264 | Lamar County School District | Registered Nurse | 1201 Bilbo Rd, Lumberton, MS 39455-8670 | 2014-11-24 |
| 1821495623 | Lamar County School District | Registered Nurse | 5279 W 4th St, Hattiesburg, MS 39402-9700 | 2014-11-24 |
| 1730586538 | Lamar County School District | Registered Nurse | 5976 Us Highway 11, Purvis, MS 39475-5066 | 2014-11-24 |
| 1750646576 | Dorothy Grady-scarbrough | Registered Nurse | 700 Robert D. Gray Ave, Shelby, MS 38774-0028 | 2012-07-09 |
| 1700167194 | Starkville Public Schools | Registered Nurse | 303 Mckee Street, Armstrong Middle School, Starkville, MS 39759-3132 | 2011-08-30 |
| 1871873729 | Starkville Oktibbeha Consolidated School District | Registered Nurse | 603 Yellowjacket Drive, Starkville High School, Starkville, MS 39759 | 2011-08-24 |
| 1013239169 | Starkville School District | Registered Nurse | 200a Dr Martin Luther King Jr Dr W, Starkville, MS 39759-2890 | 2010-02-17 |
| 1952631699 | Cleveland School District | Registered Nurse | 305 Merritt Dr, Cleveland, MS 38732-2247 | 2009-12-31 |
| Find all providers with the same taxonomy | ||||
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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.