FELICIA JACKSON (NPI# 1831419530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831419530 |
Entity Type | Individual |
Full Name | FELICIA JACKSON |
Credential | LLP |
Practice Address |
24755 5 Mile Rd Ste 107 Redford MI 48239-3665 |
Practice Telephone | 3135353035 |
Practice Fax Number | 3135353035 |
Mailing Telephone | 3135353035 |
Mailing Fax Number | 3135353035 |
Enumeration Date | 2010-06-03 |
Last Update Date | 2012-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401011892 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053950543 | Felicia Jackson | Registered Nurse | 7026 W Belden Ave Unit B, Chicago, IL 60707-2966 | 2019-12-31 |
1013155621 | Felicia Annette Jackson | Registered Nurse | 17610 Durham Ridge Ln, Humble, TX 77346-2986 | 2009-02-04 |
1497953152 | Felicia Athens Jackson | Registered Nurse | 4634 Belfast Dr, Columbus, OH 43227-2527 | 2007-07-04 |
1346879756 | Felicia Jackson | Case Manager/Care Coordinator | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2020-04-07 |
1881230852 | Felicia Jackson | Case Manager/Care Coordinator | 3330 Canal St, New Orleans, LA 70119-6206 | 2019-11-25 |
1225521313 | Felicia Lynette Jackson | Student in an Organized Health Care Education/Training Program | 115 Mill St, Belmont, MA 02478-1048 | 2018-06-13 |
1982197638 | Felicia Jackson | Behavior Technician | 8200 Georgia St, Merrillville, IN 46410-6227 | 2018-06-07 |
1659827301 | Felicia Jackson | Community Health Worker | 1852 W Grand Blvd, Detroit, MI 48208-1006 | 2016-08-31 |
1306218086 | Felicia Jackson | Counselor | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112 | 2015-10-21 |
1811235393 | Felicia Jackson | Registered Nurse | 69 Avenue B, Madison, WV 25130-1162 | 2013-01-18 |
Street Address |
24755 5 MILE RD STE 107 |
City | REDFORD |
State | MI |
Zip Code | 48239-3665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942849856 | Court'nee Ann Desmond | Nurse Practitioner | 14761 Telegraph Rd, Redford, MI 48239 | 2019-12-26 |
1891250239 | Sun Valley Pharmacy LLC | Pharmacy | 9291 Telegraph Rd, Redford, MI 48239 | 2019-02-08 |
1003343369 | Lucinda Pryor | Nurse Practitioner | 14210 Marion, Redford, MI 48239 | 2017-05-17 |
1740725274 | Georgetta W Bond | Technician, Other | 12770 Hemingway, Redford, MI 48239 | 2016-12-19 |
1508318015 | Doris Mckinney | Counselor | Lincoln Behavioral Services - 9315 Telegraph, Redford, MI 48239 | 2016-10-31 |
1609282110 | Rosaundra Tanika Pope | Home Health | 9989 Royal Grand, Redford, MI 48239 | 2014-07-03 |
1497170179 | Courtney Ritchie | General Practice | 24435 Plymouth Rd, Redford, MI 48239 | 2014-03-04 |
1003168592 | Alicia Monique Lurry | Counselor | 8171 Parkland, Detroit, MI 48239 | 2012-10-08 |
1407116080 | Ariss Tiffani Pierce | Physical Therapist | 14615 Telegraph Rd Ste 1, Redford, MI 48239 | 2012-05-17 |
1205144409 | Steven Thomas Haynes | Counselor | 7411 Parkland, Redford, MI 48239 | 2010-09-22 |
Find all providers in zip 48239 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184262768 | Alonzo Mccann | Counselor | 9112 Virgil, Redford, MI 48239-1256 | 2019-12-14 |
1245779891 | Takara Dashelle Montgomery | Counselor | 17272 Olympia, Redford, MI 48240-2166 | 2017-02-15 |
1912386822 | Sherrice White-johnson | Counselor | 14383 Fenton, Redford, MI 48239-3302 | 2015-05-26 |
1992193999 | Carla Black | Counselor | 19335 Centralia, Redford, MI 48240-1410 | 2014-12-30 |
1194129585 | Chiara Coburn-dees | Counselor | 13232 Tecumseh, Redford, MI 48239-4617 | 2014-10-14 |
1659689990 | Vida Ann-nicholas Fiorentino | Counselor | 12908 Dixie, Redford, MI 48239-2676 | 2010-09-21 |
1548459365 | Andrea Helene Guertin | Counselor | 17346 Beech Daly Rd, Redford, MI 48240-2221 | 2007-10-17 |
1104049261 | Linda M. Thornton | Counselor | 26520 Grand River Ave. Suite 107, Redford, MI 48240 | 2007-04-10 |
1104974245 | David R Monroe | Counselor | 26505 W Chicago, Redford, MI 48239-2228 | 2007-01-08 |
1174076541 | Stephany Latham | Counselor | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2016-08-02 |
Find all providers in REDFORD |
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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.