MRS. TRACY JACKSON (NPI# 1932334091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932334091 |
| Entity Type | Individual |
| Full Name | MRS. TRACY JACKSON |
| Credential | NP |
| Practice Address |
1389 N Baldwin Ave Marion IN 46952-1913 |
| Practice Telephone | 7656182118 |
| Mailing Telephone | 7656182118 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28147465A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611486 | Tracy Lynn Jackson | Behavior Technician | 412 S Central Ave, Idabel, OK 74745-6060 | 2016-11-10 |
| 1952779209 | Tracy Jackson | Nurse's Aide | 11210 Orville Ave, Cleveland, OH 44106-1327 | 2015-09-03 |
| 1982902516 | Tracy Ann Jackson | Speech-Language Pathologist | 6395 Polo Club Dr, Cumming, GA 30040-5716 | 2011-03-07 |
| 1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
| 1740203496 | Tracy Leslie Jackson | Dentist | 1731 Manatee Ave E, Bradenton, FL 34208 | 2006-07-25 |
| 1568879732 | Tracy Jackson | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2014-07-18 |
| 1992003594 | Tracy Elaine Jackson | Pharmacist | 1000 Broad St, Sumter, SC 29150-2505 | 2011-03-05 |
| 1871894899 | Tracy I Jackson | Registered Nurse | 2209 Howard St, Evanston, IL 60202-3636 | 2010-11-08 |
| 1295902971 | Tracy Jackson | Registered Nurse | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-13 |
| 1154461283 | Tracy Letia Jackson | Physician Assistant | 215 W 125th St, New York, NY 10027-4426 | 2007-02-07 |
| Street Address |
1389 N BALDWIN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609835040 | Obstetrics-gyneclogy, Inc. | Specialist | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2006-03-23 |
| 1063887537 | Jennifer R Hite | Nurse Practitioner | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2015-12-09 |
| 1386049328 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2014-11-04 |
| 1548482763 | Tamara K Pylawka | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2007-05-03 |
| 1790812899 | Orthopedic Specialists, Inc. | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2007-02-27 |
| 1811046162 | Salil Rajmaira | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2007-01-09 |
| 1306901483 | Arthroscopy & Orthopaedic Surgery | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2006-12-27 |
| 1063462042 | William Michael Roper | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215327705 | Melo-dee Collins | Nurse Practitioner | 330 N Wabash Ave Ste 170, Marion, IN 46952-2696 | 2015-02-04 |
| 1639422355 | Brianne P Lienkamp | Nurse Practitioner | 369 Front St, Marion, MA 02738-1538 | 2012-10-18 |
| 1457567877 | Martha Amanda Rich | Nurse Practitioner | 3501 Newark Rd, Marion, NY 14505-9644 | 2007-05-15 |
| 1164645024 | Kathleen Anne Smothers | Nurse Practitioner | 59 Gypsy Mountain Rd., Marion, NC 28752-4527 | 2007-04-10 |
| 1891172870 | Jennifer Little | Nurse Practitioner | 1700 E 38th St, Marion, IN 46953-4568 | 2015-04-29 |
| 1861880601 | Cindy Dawn Evans | Nurse Practitioner | 441 N Wabash Ave, Marion, IN 46952-2612 | 2015-01-01 |
| 1326473190 | Ann Marie Gardner Hammond | Nurse Practitioner | 2293 Sugar Hill Rd Ste A, Marion, NC 28752-7787 | 2013-09-11 |
| 1104102474 | Michelle Deane Mc Lain | Nurse Practitioner | 3333 W Deyoung St, Marion, IL 62959 | 2011-10-31 |
| 1295015188 | Daniel J Cimino | Nurse Practitioner | 130 University Dr Ste 1300, Marion, OH 43302 | 2011-08-23 |
| 1962708156 | Jamie Sue Lang | Nurse Practitioner | 1406 W Bella Dr, Marion, IN 46953-5229 | 2011-02-04 |
| Find all providers in MARION | ||||
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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.