MRS. HEIDI LYNN JACKSON (NPI# 1831176239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831176239 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI LYNN JACKSON |
| Credential | CPNP |
| Practice Address |
2501 Oakington St Aberdeen Proving Ground MD 21005-5131 |
| Mailing Address |
50 Piney Ridge Ln North East MD 21901-2101 |
| Practice Telephone | 4102781932 |
| Mailing Telephone | 4102873417 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R070129 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1619232782 | Heidi Jackson | Counselor | 108 Robin Rd Ste 2004, Altamonte Springs, FL 32701-5035 | 2012-07-05 |
| 1508942954 | Heidi A Jackson | Nurse Practitioner | 261 N Roosevelt Ave, Chandler, AZ 85226-2616 | 2006-10-28 |
| 1528596392 | Heidi Margaret Jackson | Counselor | 921 W Avenue J Ste C, Lancaster, CA 93534-3443 | 2017-05-24 |
| 1942481452 | Heidi Holman Jackson | Surgery | 700 W Ironwood Dr, Suite 341, Coeur D Alene, ID 83814-2656 | 2007-11-27 |
| 1467486340 | Heidi Jackson | Physician Assistant | 1700 Clinton St, Muskegon, MI 49442-5502 | 2006-07-10 |
| Street Address |
2501 OAKINGTON ST |
| City | ABERDEEN PROVING GROUND |
| State | MD |
| Zip Code | 21005-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098102 | Marcia Debra Parker | Registered Nurse | 2501 Oakington St, Kirk Us Army Health Clinic, Aberdeen Proving Ground, MD 21005-5131 | 2005-10-27 |
| 1831540244 | Stacey Giles | Pharmacist | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2016-06-27 |
| 1427421429 | Dennis Brady | Physician Assistant | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2015-11-12 |
| 1164793386 | Chrystal Ann Buchanan | Physician Assistant | 2501 Oakington St, Kirk Us Army Health Clinic, Aberdeen Proving Ground, MD 21005-5131 | 2012-01-19 |
| 1699915322 | Tonya W. Taylor | Registered Nurse | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2009-02-20 |
| 1841465069 | Donald Gerard Zugner | Physician Assistant | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2008-04-29 |
| 1689879926 | Kimbrough Acc Military Mtf | Clinic/Center | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2007-06-18 |
| 1073729745 | Kimbrough Acc Military Mtf | Clinic/Center | 2501 Oakington St, Building E-4110, Aberdeen Proving Ground, MD 21005-5131 | 2007-05-16 |
| 1508072281 | Kimbrough Acc Military Mtf | Clinic/Center | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2007-05-16 |
| 1013043462 | Andrew Claude Cote | Pharmacist | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275910986 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Chesapeake and Raritan Avenue, Bldg. 2401, Aberdeen Proving Ground, MD 21005 | 2015-05-01 |
| 1801238779 | Michelle Jones | Nurse Practitioner | 6235 Plum Point Loop, Aberdeen Proving Ground, MD 21005 | 2013-07-20 |
| 1942342928 | Stefan Anthony Eltgroth | Internal Medicine | 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 | 2007-02-13 |
| 1366555609 | Georgia Grace Rogers | Dentist | 6455 Machine Street, Apg Dental Clinic, Aberdeen Proving Ground, MD 21005 | 2006-08-17 |
| 1568430759 | Kevin P. Michaels | Preventive Medicine | Kirk U.S. Army Health Clinic, 2501 Oakington St, Aberdeen Proving Ground, MD 21005 | 2006-03-14 |
| 1013518331 | Karina Madelline Morales Sandoval | Dental Assistant | 6455 Machine Street, Aberdeen Proving Ground, MD 21005 | 2020-11-03 |
| 1487296620 | Kelvin Bernard Albright Jr. | Dental Assistant | 6455 Machine Street, Apg, MD 21005 | 2019-10-09 |
| 1265997910 | Hyunju Nielsen | Counselor | 6270 Plum Point Loop, Aberdeen Proving Ground, MD 21005-1422 | 2019-02-06 |
| 1184042053 | Melody L King | Physical Therapy Assistant | 3825 Memorial Ct Apt D, Aberdeen Proving Ground, MD 21005-1759 | 2014-03-28 |
| 1427690668 | Jihyun Yoon | Dental Hygienist | 6455 Machine St Building 4501, Aberdeen Proving Ground, MD 21005-1952 | 2019-10-09 |
| Find all providers in zip 21005 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | ABERDEEN PROVING GROUND |
| Zip Code | 21005 |
Please comment or provide details below to improve the information on MRS. HEIDI LYNN 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.