ROSLYN JONES JACKSON (NPI# 1831275866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831275866 |
| Entity Type | Individual |
| Full Name | ROSLYN JONES JACKSON |
| Credential | NP |
| Practice Address |
2450 Craven Streeet San Diego CA 92136 |
| Mailing Address |
403 Cornwall Gln Escondido CA 92027-2913 |
| Practice Telephone | 6195568106 |
| Mailing Telephone | 7607437607 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024167089 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2450 CRAVEN STREEET |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930164 | Alexa Clifton | Student in an Organized Health Care Education/Training Program | 2525 Callagan Hwy, Fpo, AA 92136 | 2018-08-03 |
| 1235501321 | Family Optometric Associates of California, Inc. | Optometrist | 2260 Callahan Hwy, Bldg 3187-a, San Diego, CA 92136 | 2015-10-28 |
| 1457720427 | Andres Bargados Santamaria IIi | Military Health Care Provider | 116 Cummings Rd, San Diego, CA 92136 | 2015-09-21 |
| 1932470374 | Robert Bishop Beedles Jr. | Military Health Care Provider | 3380 Sturtevant St, Bldg 57 Second Floor, San Diego, CA 92136 | 2012-01-17 |
| 1083771877 | Brianna Leigh Rupp | General Practice | Uss Tarawa Lha 1 Fpo Ap 96622-1600, San Diego, CA 92136 | 2007-01-02 |
| 1396814836 | Alberia Joseph Davis | Military Health Care Provider | Pcd Sampson (ddg-102), 3975 Norman Scott Rd, San Diego, CA 92136 | 2006-11-07 |
| 1699743534 | Mark L Williamson | Military Health Care Provider | 3325 Senn Road, Comdesron One Building 55 Second Floor, San Diego, CA 92136 | 2006-03-08 |
| 1467423335 | John M. Hintz | Psychologist | Branch Medical Clinic, Naval Station, San Diego, CA 92136 | 2006-01-30 |
| 1659341089 | Kenichi Carrigan | Preventive Medicine | 3235 Albacore Alley, San Diego, CA 92136 | 2006-01-26 |
| 1174593784 | Optometry-vision With Styles, Inc | Optometrist | 2260 Callagan Hwy, Building 3187b Ste 1, San Diego, CA 92136 | 2006-01-25 |
| Find all providers in zip 92136 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982000352 | Elizabeth C Kicko | Nurse Practitioner | 4514 38th Street, San Diego, CA 92105-1108 | 2014-11-13 |
| 1962804765 | Michelle Luneau | Nurse Practitioner | 7067 Glenflora Ave, San Diego, CA 92119-2947 | 2014-09-23 |
| 1588855357 | Susan Achen | Nurse Practitioner | 5555 Reservoir Dr Ste 207, San Diego, CA 92120-5149 | 2007-08-07 |
| 1295941623 | Brenda J Allen | Nurse Practitioner | 4474 El Cajon Blvd, San Diego, CA 92115-4312 | 2007-05-15 |
| 1376540039 | Rosanne Gephart | Nurse Practitioner | 3630 Enterprise St, San Diego, CA 92110-3212 | 2005-07-07 |
| 1154969905 | Allegra Conway | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-12-11 |
| 1306307541 | Christine Evangeline Moll-garibay | Nurse Practitioner | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2019-03-29 |
| 1760963532 | Anna Woertler | Nurse Practitioner | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-08-28 |
| 1922542927 | Anne Cullen Belke | Nurse Practitioner | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2016-12-09 |
| 1538515358 | Tera Kates | Nurse Practitioner | 12264 El Camino Real, San Diego, CA 92130-3058 | 2016-05-11 |
| Find all providers in SAN DIEGO | ||||
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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.