LISA NICOLE JACKSON (NPI# 1831468420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831468420 |
| Entity Type | Individual |
| Full Name | LISA NICOLE JACKSON |
| Credential | LPN |
| Practice Address |
1599 Prospect Pl Apt 1e Brooklyn NY 11233-4451 |
| Mailing Address |
1599 Prospect 1e Brooklyn NY 11233 |
| Practice Telephone | 3474441936 |
| Mailing Telephone | 3474441936 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 307662-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300329 | Lisa Ann Jackson | Speech-Language Pathologist | 802 S Yucatan Dr, Tucson, AZ 85710-4933 | 2019-11-15 |
| 1194292441 | Lisa Jackson | Nurse's Aide | 2423 Montana Blue Dr, Spring, TX 77373-7871 | 2018-10-25 |
| 1770027781 | Lisa Jackson | Registered Nurse | 1520 E Calhoun St, Anderson, SC 29621-2210 | 2016-12-09 |
| 1154711166 | Lisa Jackson | Psychologist | 20111 Horace Harding Expy, Oakland Gardens, NY 11364-1639 | 2015-01-28 |
| 1720493224 | Lisa Nicole Jackson | Specialist/Technologist | 3200 Troup Hwy Ste, 120, Tyler, TX 75701 | 2014-06-24 |
| 1992023030 | Lisa Jackson | Massage Therapist | 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 | 2010-05-13 |
| 1487844973 | Lisa Nicole Jackson | Obstetrics & Gynecology | 89-06 135th St, Room 6a, Jamaica, NY 11418 | 2007-07-31 |
| 1497828826 | Lisa Lanette Jackson | Nurse Practitioner | 1117 Chestnut St, Lewisville, AR 71845 | 2006-11-15 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| 1659980738 | Lisa Ann Jackson | Counselor | 956 E Tabor Ave, Fairfield, CA 94533-4104 | 2020-07-24 |
| Street Address |
1599 PROSPECT PL APT 1E |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11233-4451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066381 | Elisa Jeanne Smith | Social Worker | 1505 St. Marks Ave, Clinical Office, Brooklyn, NY 11233 | 2020-09-08 |
| 1154968493 | Jahmani Hylton | Social Worker | 451 Macon Street, Ground Floor, Brooklyn, NY 11233 | 2019-12-05 |
| 1487121935 | Kimberly Ramsay | Social Worker | 1847 Prospect Place, Basement, Brooklyn, NY 11233 | 2018-11-01 |
| 1952823874 | Valerie A Davis | Specialist | 1769 Park Place, 1a, Brooklyn, NY 11233 | 2017-07-12 |
| 1053833988 | Griselda Colmena | Case Manager/Care Coordinator | 1765 Prospect Pl, 2h, Brooklyn, NY 11233 | 2017-07-12 |
| 1316476724 | Juliana Susannah Green Peters | Registered Nurse | 887 Hancock St, Brooklyn, NY 11233 | 2017-06-08 |
| 1043744816 | Marjorie Direny | Social Worker | 23484 Atlantic Ave, Brooklyn, NY 11233 | 2017-04-18 |
| 1467999169 | Myint M Nwe | Student in an Organized Health Care Education/Training Program | #30 Kane Place, Brooklyn, New York City, NY 11233 | 2017-01-20 |
| 1053857417 | Lateefat Lawal | Case Manager/Care Coordinator | 216 Rockaway Ave, Apt 22a, Brooklyn, NY 11233 | 2017-01-10 |
| 1932659232 | Tonetta Arnold | Counselor | 1569 Prospect, 6b, Brooklyn, NY 11233 | 2016-10-11 |
| Find all providers in zip 11233 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901456 | Raven Nichole Bagy | Licensed Practical Nurse | 45 Twin Pines Dr Apt 10a, Brooklyn, NY 11239-1804 | 2020-10-26 |
| 1982203998 | Troy Conliffe | Licensed Practical Nurse | 180 E 17th St, Brooklyn, NY 11226-4668 | 2020-10-21 |
| 1588263883 | Kimberley Wiltshire | Licensed Practical Nurse | 1336 President St, Brooklyn, NY 11213-4238 | 2020-10-19 |
| 1053919639 | Elna Remy | Licensed Practical Nurse | 1639 Hendrickson St, Brooklyn, NY 11234-4315 | 2020-10-15 |
| 1518565183 | Tamara Jessica Lawrence | Licensed Practical Nurse | 1482 Lincoln Pl Apt 7, Brooklyn, NY 11213-4137 | 2020-10-15 |
| 1740896414 | Sarahbeth Boyd | Licensed Practical Nurse | 196 Rockaway Pkwy, Brooklyn, NY 11212-3400 | 2020-09-18 |
| 1205441540 | Ademola Ojo-adesoye | Licensed Practical Nurse | 381 Milford St, Brooklyn, NY 11208-3853 | 2020-09-14 |
| 1366057614 | Jacqueline Bourdeau | Licensed Practical Nurse | 2415 Newkirk Ave, Brooklyn, NY 11226-7622 | 2020-09-14 |
| 1194339572 | Elveta Bamberry | Licensed Practical Nurse | 596 E 87th St, Brooklyn, NY 11236-3229 | 2020-09-03 |
| 1508479650 | Ivrance Petigny | Licensed Practical Nurse | 8419 Avenue N, Brooklyn, NY 11236-5109 | 2020-08-28 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on LISA NICOLE 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.