BRANDY JACKSON (NPI# 1841838794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841838794 |
| Entity Type | Individual |
| Full Name | BRANDY JACKSON |
| Credential | APRN |
| Practice Address |
895 N Main St Monticello KY 42633-1580 |
| Mailing Address |
447 Aspen Dr London KY 40741-8246 |
| Practice Telephone | 6063963006 |
| Mailing Telephone | 6063129398 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3013927 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750687513 | Brandy Jackson | Chiropractor | 147 Main Street, Wagener, SC 29164-9442 | 2011-01-26 |
| 1013457571 | Brandy Jackson | Physical Therapy Assistant | 55 S 2nd St, Chambersburg, PA 17201-2207 | 2017-03-03 |
| Street Address |
895 N MAIN ST |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667759 | Ginger Conn | Nurse Practitioner | 895 N Main St, Monticello, KY 42633-1580 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1245376243 | Diagnostic Radiology of London | Specialist | 1455 E Hwy 90 By-pass Unit #4, Monticello, KY 42633 | 2007-01-29 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508722 | Tlc Healthcare LLC | Nurse Practitioner | 202 N Main St Ste A, Monticello, IA 52310-1746 | 2020-11-06 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1992215354 | Derek Lee White | Nurse Practitioner | 385 Old Troy Rd, Monticello, AR 71655-9181 | 2017-10-11 |
| 1720160526 | Cumberland Gastroenterology, P.s.c. | Nurse Practitioner | 1 Southcreek Drive, Monticello, KY 42633 | 2006-10-20 |
| 1659363612 | Shirley L Van Horn | Nurse Practitioner | 17 Hamilton Ave., Monticello, NY 12701 | 2005-08-16 |
| 1578560405 | Carol Marguerite Brinkman | Nurse Practitioner | 9766 Fallon Ave Ne Ste 102, Monticello, MN 55362-4589 | 2005-07-07 |
| 1487290961 | Hannah A Hilton | Nurse Practitioner | 535 Jordan Dr, Monticello, AR 71655-5714 | 2019-11-20 |
| 1437621612 | David Christopher Morgan | Nurse Practitioner | 38 Concord Rd, Monticello, NY 12701-3210 | 2018-12-27 |
| 1730667759 | Ginger Conn | Nurse Practitioner | 895 N Main St, Monticello, KY 42633-1580 | 2018-08-01 |
| 1427557321 | Crystal S Clark | Nurse Practitioner | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2018-02-06 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
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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.