BRENDA D JACKSON (NPI# 1922042951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922042951 |
| Entity Type | Individual |
| Full Name | BRENDA D JACKSON |
| Credential | MSN, ACNP-BC |
| Practice Address |
1600 Coit Rd Ste 104 Plano TX 75075-6171 |
| Mailing Address |
Po Box 2432 Sherman TX 75091-2432 |
| Practice Telephone | 9725665411 |
| Practice Fax Number | 9725198337 |
| Mailing Telephone | 9038935177 |
| Mailing Fax Number | 9038130210 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
257405 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1744534-01 | 05 | |
| TX | BCBS | 8N7563 | 01 |
| TX | RR MEDICARE | P00264932 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 E Taylor St, Suite 3011, Sherman, TX 750902881 | 9038935177 | 9038130210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1205225349 | Brenda Lee Jackson | Nurse Practitioner | 757 W Eisenhower Rd, Lansing, KS 66043-2215 | 2015-01-13 |
| 1467631556 | Brenda Sue Jackson | Case Manager/Care Coordinator | 2508 S.e. 20th, Bentonville, AR 72712 | 2007-10-25 |
| 1588179501 | Brenda Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2017-12-13 |
| 1083060610 | Brenda L.e. Jackson | Occupational Therapist | 601 W Leota St, North Platte, NE 69101-6525 | 2016-05-12 |
| 1578972600 | Brenda Rene Jackson | Counselor | 1555 E Flamingo Rd, Ste. # 158, Las Vegas, NV 89119-5258 | 2014-08-01 |
| 1538509526 | Brenda Jackson | Behavioral Analyst | 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 | 2013-07-05 |
| 1215372644 | Brenda Lee Jackson | Registered Nurse | 530 Hornady Dr, Monroeville, AL 36460-8658 | 2013-04-29 |
| 1326273707 | Brenda Ann Jackson | Radiologic Technologist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2009-05-28 |
| 1336295286 | Brenda A L Jackson | Nurse Practitioner | 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 | 2007-01-25 |
| Street Address |
1600 COIT RD STE 104 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-6171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475903 | Devin Keith Mccoy | Physician Assistant | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2006-04-11 |
| 1538636444 | Jessica Lee Whitis | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2018-10-29 |
| 1790290484 | Southwest Scoliosis Institute, Pllc | Orthopaedic Surgery | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2017-12-04 |
| 1649677410 | Imran Farooqui | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2014-11-22 |
| 1043630080 | Christian Eduardo Cajavilca | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2014-04-17 |
| 1962843441 | Mary-ann Fares | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2013-07-11 |
| 1295178648 | Jennifer Hope Gerk | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2013-04-15 |
| 1992937106 | Keyur Krishnakant Patel | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2009-08-20 |
| 1457513012 | Ioannis Alexander Avramis | Orthopaedic Surgery | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2008-06-25 |
| 1487823720 | Norman Ajiboye | Neurological Surgery | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2008-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
| 1194345850 | Adrienne Camille Greeney | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2020-04-23 |
| 1679110332 | Charles James Mckenna | Nurse Practitioner | 6124 W Parker Rd Ste 530, Plano, TX 75093-8140 | 2019-12-02 |
| 1376187682 | Tabtiha Jean Inge | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2019-10-30 |
| 1447715503 | Shabnam Gettu Gill | Nurse Practitioner | 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 | 2019-02-04 |
| 1538636444 | Jessica Lee Whitis | Nurse Practitioner | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2018-10-29 |
| 1790251585 | Laura Hayes | Nurse Practitioner | 1100 Allied Dr, Plano, TX 75093-5348 | 2018-10-18 |
| 1760957088 | Baneen Fatima Manekia | Nurse Practitioner | 6300 W Parker Rd Ste 322, Plano, TX 75093-8103 | 2018-10-13 |
| 1831672088 | Preethy Sara Oommen | Nurse Practitioner | 6124 W Parker Rd Ste 536, Plano, TX 75093-8137 | 2018-09-13 |
| Find all providers in PLANO | ||||
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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.