TRACEY JACKSON (NPI# 1902074545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902074545 |
| Entity Type | Individual |
| Full Name | TRACEY JACKSON |
| Practice Address |
2814 W 2nd St Wilmington DE 19805-1807 |
| Practice Telephone | 3024720381 |
| Mailing Telephone | 3024720381 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134571730 | Tracey Francine Jackson | Technician, Other | 22764 Normandy Ave, Eastpointe, MI 48021-1854 | 2016-07-07 |
| 1639532765 | Tracey Jackson | Social Worker | 5937 Larchwood Ave, Philadelphia, PA 19143-1115 | 2016-04-05 |
| 1609063882 | Tracey Monique Jackson | Registered Nurse | 23 Flanders St, Rochester, NY 14619-1705 | 2007-10-01 |
| 1174948038 | Tracey Jackson | Occupational Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
| 1255755930 | Tracey Jackson | Case Manager/Care Coordinator | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2014-02-14 |
| 1861643389 | Tracey Ann Jackson | Counselor | 1547 Parkway Ste 100, Greenwood, SC 29646-4081 | 2008-10-02 |
| 1487803870 | Tracey D Jackson | Pharmacist | 1000 Locust St, Reno, NV 89502-2597 | 2008-09-10 |
| 1215121835 | Tracey Jackson | Physician Assistant | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-08-28 |
| 1558486803 | Tracey L Jackson | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820 | 2007-03-19 |
| 1902808868 | Tracey L Jackson | Nurse Anesthetist, Certified Registered | 615 S New Ballas Rd, Sjmmc Dept of Anes, Saint Louis, MO 63141-8221 | 2005-08-11 |
| Street Address |
2814 W 2ND ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437209483 | Susan J Anderson | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2007-01-11 |
| 1790048825 | Early Foundation Child Development & Therapeutic Center | Early Intervention Provider Agency | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2012-06-22 |
| 1912234543 | Christopher Mckenney | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2009-11-03 |
| 1013242981 | Joshua M Ellow | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2009-10-12 |
| 1447487442 | Daniel Norvell | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2009-06-17 |
| 1447405659 | James Muldoon Kennedy | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-12-02 |
| 1154570885 | Amanda Nicole Pizarro | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-09-18 |
| 1548426976 | Joanna R. Migliore | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-08-05 |
| 1699949073 | Selina Mendez | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-04-17 |
| 1508047358 | Douglas L Spruill | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2007-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443734 | Haylee Allen | Counselor | 2515 Costmary Ln Unit 11, Wilmington, NC 28412-2448 | 2020-10-08 |
| 1174130686 | Devan James Carroll | Counselor | 311 Judges Rd Ste E, Wilmington, NC 28405-3651 | 2020-09-29 |
| 1891306833 | Kyara Panula Beck | Counselor | 1104 N Adams St, Wilmington, DE 19801-1327 | 2020-08-13 |
| 1205447679 | Outreach Recovery II | Counselor | 1007 N Orange St Fl 4, Wilmington, DE 19801-1242 | 2020-08-11 |
| 1861010183 | Charles Franklin Lyon | Counselor | 3805 New Holland Dr, Wilmington, NC 28412-7155 | 2020-07-13 |
| 1407478092 | Samantha Renee Lomske | Counselor | 48 Randolph St, Wilmington, OH 45177-2731 | 2020-05-18 |
| 1659908853 | Andrena Caroline Cooley | Counselor | 3420 Wrightsville Ave, Wilmington, NC 28403-4118 | 2020-03-26 |
| 1376026559 | Debra Joy Frump | Counselor | 232 N South St, Wilmington, OH 45177-1649 | 2018-09-13 |
| 1831671791 | Kristin Jones | Counselor | 2206a Wrightsville Ave, Wilmington, NC 28403-2406 | 2018-09-06 |
| 1043798853 | Shareeda Cephas | Counselor | 2507 W 6th St, Wilmington, DE 19805-2908 | 2018-08-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19805 |
Please comment or provide details below to improve the information on TRACEY 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.