ASHLEY D JACKSON


Address: 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526
Phone: 2604478982

ASHLEY D JACKSON (NPI# 1932752102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932752102
Entity Type Individual
Full Name ASHLEY D JACKSON
Practice Address 1330 N Coliseum Blvd
Fort Wayne
IN 46805-5526
Practice Telephone 2604478982
Practice Fax Number 2604474483
Mailing Telephone 2604478982
Mailing Fax Number 2604474483
Enumeration Date 2019-07-17
Last Update Date 2019-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 28201766A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers ASHLEY JACKSON

NPI Name Taxonomy Address Enumeration
1629466313 Ashley Jackson Marriage & Family Therapist 3785 Town Square Cir Nw, Kennesaw, GA 30144-2377 2015-01-02
1649542911 Ashley Jackson Social Worker 34 Halborn St, Boston, MA 02126-2313 2012-02-02
1245381318 Ashley Jackson Marriage & Family Therapist 1001 Needham St, Modesto, CA 95354-0730 2007-01-16
1770596744 Ashley R Jackson Dentist 123 W Grove St, El Dorado, AR 71730-4608 2006-08-14
1255939062 Ashley Jackson Technician 1 Avenue C Ste 102, Madison, WV 25130-1100 2020-10-14
1326656612 Ashley Marie Jackson Nurse Practitioner 1601 Center St, Mobile, AL 36604-1541 2020-07-22
1093357097 Ashley Jackson Case Manager/Care Coordinator 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 2019-10-10
1740838523 Ashley Denae Jackson Pharmacist 169 W Lancaster Ave, Ardmore, PA 19003-1401 2019-08-26
1215583745 Ashley Jackson Home Health 1409 Washington Ave Ste 207, Saint Louis, MO 63103-1936 2019-08-12
1578024428 Ashley M Jackson Case Manager/Care Coordinator 2707 Browns Ln, Jonesboro, AR 72401-7213 2019-03-25

Office Location

Street Address 1330 N COLISEUM BLVD
City FORT WAYNE
State IN
Zip Code 46805-5526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700887262 Charles L Coats Family Medicine 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526 2005-08-09
1609334382 Kindra S Irons Nurse Practitioner 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526 2019-03-12
1396265864 John T Oo Nurse Practitioner 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526 2017-06-26
1003892555 Anthony Medical Associates P C Family Medicine 1330 N Coliseum Blvd, Fort Wayne, IN 46805-5526 2005-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891394599 Laury Farrell Nurse Practitioner 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 2020-10-22
1730787599 Crystal Neal Nurse Practitioner 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 2020-10-14
1225668312 Kathleen Vanderreyden Nurse Practitioner 3005 E State Blvd, Fort Wayne, IN 46805-4736 2020-01-17
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1275980690 April Anderson Nurse Practitioner 6920 Pointe Inverness Way Ste 120, Fort Wayne, IN 46804-7926 2016-05-16
1922470970 Jennifer Carol Littke Nurse Practitioner 6326 Constitution Dr, Fort Wayne, IN 46804-1518 2015-10-28
1275956054 Andrea N Lahrman Nurse Practitioner 11123 Parkview Plaza Dr Ste 106, Fort Wayne, IN 46845-1707 2014-01-29
1417213729 Laura Beth Baker Nurse Practitioner 5750 Falls Drive, Fort Wayne, IN 46804-7147 2012-04-11
1447572441 Kathryn L Smith Nurse Practitioner 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733 2010-02-18
1316180144 Braden M Butterfield Mckinley Nurse Practitioner 2101 E Coliseum Blvd Rm 234, Fort Wayne, IN 46805-1445 2009-04-09
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

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.

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