DESYRE KIMBERLY JACKSON


Address: 734 Pocahontas Pl, Hampton, VA 23661-2434
Phone: 7579753813

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver VA Other Service Providers

Office Location

Street Address 734 POCAHONTAS PL
City HAMPTON
State VA
Zip Code 23661-2434

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

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
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Competitor

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City HAMPTON
Zip Code 23661

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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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