JESSICA JACKSON (NPI# 1821536475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821536475 |
| Entity Type | Individual |
| Full Name | JESSICA JACKSON |
| Practice Address |
2222 Colonial Rd Ste 100 Fort Pierce FL 34950-5309 |
| Practice Telephone | 7724894726 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
2222 COLONIAL RD STE 100 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952415614 | Todd W Carney | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2006-08-19 |
| 1811515695 | Angela Dawn Castro | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2020-07-08 |
| 1801418165 | Chelsea Mohammed | Social Worker | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2020-05-10 |
| 1508488982 | Robin Zide | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2020-05-08 |
| 1295361822 | Bartell Andrew Rivera | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2020-03-16 |
| 1548816275 | Shernet Henry | Social Worker | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2019-08-19 |
| 1003461393 | Zakiah Abdur-rashid | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2019-08-05 |
| 1912568130 | Mitchell Thomas Eisert | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2019-06-27 |
| 1336634781 | William Lawrence Besterman Iv | Social Worker | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950 | 2018-06-28 |
| 1710470125 | Debra Dragomir | Counselor | 2222 Colonial Rd Ste 100, Fort Pierce, FL 34950-5309 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024232 | Carolyn Corrina Bethel | Counselor | 2222 Colonial Rd Ste 1002222, Fort Pierce, FL 34950-5309 | 2020-05-10 |
| 1881259323 | Brendalin A Bacon | Counselor | 4713 El Nueva Ave, Fort Pierce, FL 34946-1035 | 2019-05-09 |
| 1114419751 | Ken N Brown | Counselor | 130 S Indian River Dr Ste 301, Fort Pierce, FL 34950-4353 | 2018-05-30 |
| 1881102051 | Toni Marlene Lopez | Counselor | 5202 Melissa Ln, Fort Pierce, FL 34946-9126 | 2018-01-22 |
| 1770930042 | Lucresha Reeves | Counselor | 6804 Santa Clara Blvd, Fort Pierce, FL 34951-1293 | 2016-05-17 |
| 1790170892 | Sade Blackshear | Counselor | 97 Virginia Park Blvd, Fort Pierce, FL 34947-6908 | 2015-04-06 |
| 1750789483 | Lisa Lewis | Counselor | 2814 S Us Highway 1 Ste D-4, Fort Pierce, FL 34982 | 2014-12-11 |
| 1003224338 | Jean-mary Monval | Counselor | 2011 S 25th St Ste 108, Fort Pierce, FL 34947-4795 | 2014-07-30 |
| 1972929834 | Violet Burke | Counselor | 494 Maple Ave, Fort Pierce, FL 34982-5949 | 2014-03-14 |
| 1083043772 | Chaute Thompson | Counselor | 130 S Indian River Dr Ste 202, Fort Pierce, FL 34950-4353 | 2013-11-04 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on JESSICA JACKSON.
| 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.