DESYRE KIMBERLY JACKSON (NPI# 1790301281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790301281 |
Entity Type | Individual |
Full Name | DESYRE KIMBERLY JACKSON |
Practice Address |
734 Pocahontas Pl Hampton VA 23661-2434 |
Practice Telephone | 7579753813 |
Mailing Telephone | 7579753813 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | VA | Other Service Providers |
Street Address |
734 POCAHONTAS PL |
City | HAMPTON |
State | VA |
Zip Code | 23661-2434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
1548594435 | Haley Durrette Logan | Chiropractor | 593 Aberdeen Rd, Hampton, VA 23661 | 2009-09-24 |
1003347535 | Angela Mcdowell | Social Worker | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2017-03-26 |
1487276200 | Family Restoration Services | Community/Behavioral Health | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2020-05-14 |
1033231279 | United & Empowered Care, Inc. | Skilled Nursing Facility | 916 Glenrock Dr, Hampton, VA 23661-1017 | 2007-04-06 |
1235771536 | Valencia Jackson | Registered Nurse | 914 Thornbriar Ct, Hampton, VA 23661-1026 | 2019-10-08 |
1881107589 | Helping Everyone Live Progressively, LLC | Clinic/Center | 703 Howmet Dr Ste A, Hampton, VA 23661-1093 | 2017-11-16 |
1649315011 | Versability Resources, Inc. | Intermediate Care Facility, Mentally Retarded | 2520 58th Street, Hampton, VA 23661-1228 | 2007-02-21 |
1922015577 | Versability Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2520 58th St, Hampton, VA 23661-1228 | 2006-08-02 |
Find all providers in zip 23661 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
1588299945 | Nicole Angela Monroe | Driver | 728 Arlington Ter, Hampton, VA 23666-2826 | 2020-03-05 |
1295299972 | Latoya Lee | Driver | 211 Marcella Rd Unit 403, Hampton, VA 23666-2685 | 2019-01-26 |
1265928808 | Victor Michael Bowe | Driver | 3 Evergreen Pl, Hampton, VA 23666-2178 | 2018-07-06 |
1851804728 | Juanita Ann Brown | Driver | 4 Fairchild Ct, Hampton, VA 23666-6028 | 2017-11-14 |
1437674215 | Jacqueline Webster | Driver | 508 Lee St, Hampton, VA 23669-3923 | 2017-08-14 |
1356881700 | James Robert Williams | Driver | 15 Tiffany Ln, Hampton, VA 23664-2058 | 2017-03-05 |
1497132146 | Felicia Walker | Driver | 129 Settlers Landing Rd, Hampton, VA 23669 | 2015-05-01 |
1164708889 | Alicia Patterson | Driver | 649 Aberdeen Rd Apt R7, Hampton, VA 23661-1836 | 2011-10-26 |
1801062864 | Howelynn Transport | Driver | 11565 Vinea Lane, Hampton, GA 30228 | 2008-04-30 |
Find all providers in HAMPTON |
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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.