DEBORAH DOBEY JACKSON (NPI# 1891249777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891249777 |
| Entity Type | Individual |
| Full Name | DEBORAH DOBEY JACKSON |
| Other Name | DEBORAH DOBEY MARTIN |
| Credential | LPN |
| Practice Address |
4095 Country Club Rd Spartanburg SC 29302-4458 |
| Practice Telephone | 8644904810 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 22799 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1780080929 | Deborah Jackson | Occupational Therapy Assistant | 280 Pine Forest Dr, Lawrenceville, GA 30046-6032 | 2014-11-17 |
| 1336107408 | Deborah A Jackson | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2006-05-01 |
| 1730738469 | Deborah L Jackson | Technician | 1510 Fort Davis Pl Se, Washington, DC 20020-6028 | 2019-09-05 |
| 1174051114 | Deborah Jackson | Registered Nurse | 405 Avenue of The States, Chester, PA 19013-4403 | 2017-06-02 |
| 1073057279 | Deborah Jackson | Nurse Practitioner | 2900 E University Dr Ste 110, Auburn, AL 36830-7729 | 2016-12-07 |
| 1740737485 | Deborah Jackson | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-09 |
| 1316399090 | Deborah Jackson | Counselor | 2212 Devine St Ste D, Columbia, SC 29205-2402 | 2016-07-06 |
| 1801254461 | Deborah Jackson | Community Based Residential Treatment Facility, Mental Illness | 1100 W 6th Ave, Gary, IN 46402 | 2016-02-10 |
| 1245624535 | Deborah Jackson | Counselor | 401 Pilgrim Ln, Drexel Hill, PA 19026-5000 | 2015-03-24 |
| Street Address |
4095 COUNTRY CLUB RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| 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 |
|---|---|---|---|---|
| 1992119861 | Sheila Sullivan | Licensed Practical Nurse | 610 Old Greenville Rd, Spartanburg, SC 29301-4704 | 2014-06-18 |
| 1104246685 | Robin Lann | Licensed Practical Nurse | 151 E. Wood St, Spartanburg, SC 29305 | 2014-04-23 |
| 1588098891 | Tracy Jean Taylor | Licensed Practical Nurse | 375 Spring St, Spartanburg, SC 29301-4708 | 2013-08-23 |
| 1912341496 | Heather Thomas Blanton | Licensed Practical Nurse | 1315 Old Converse Rd, Spartanburg, SC 29307-3205 | 2013-04-26 |
| 1891207577 | Anita Spears | Licensed Practical Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2017-11-02 |
| 1841669546 | Angela Ward | Licensed Practical Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2015-09-23 |
| 1598101396 | Sybil Vinson | Licensed Practical Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2013-05-20 |
| 1548500341 | Martha Frances Calvert | Licensed Practical Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2013-02-15 |
| 1720325137 | Cathy Tripp Stapleton | Licensed Practical Nurse | 698 Howard St, Spartanburg, SC 29303-2964 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
| 1265032015 | Dorothy Angela Parson | Licensed Practical Nurse | 1000 Hillsborough Dr Apt 54, Seneca, SC 29678-3762 | 2020-10-30 |
| 1023621182 | Twila Beckman | Licensed Practical Nurse | 1011 Mimosa Ct, Conway, SC 29527-5919 | 2020-08-28 |
| 1932712320 | Amy Marie Bleier | Licensed Practical Nurse | 2470 Mall Dr Ste C&d, North Charleston, SC 29406-6514 | 2020-08-26 |
| 1689283616 | Destinee Watson | Licensed Practical Nurse | 3003 S Canal Dr, Florence, SC 29505-7503 | 2020-07-27 |
| 1407487127 | Michelle Thompson | Licensed Practical Nurse | 1113 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-01-31 |
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1376188334 | Emily Price Blackwell | Licensed Practical Nurse | 420 High Point Church Rd, Pageland, SC 29728-6458 | 2019-11-14 |
| 1053956383 | Judy R Riley | Licensed Practical Nurse | 1615 Blewer Rd, Cope, SC 29038-9330 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
Please comment or provide details below to improve the information on DEBORAH DOBEY 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.