IRMA JACKSON (NPI# 1992845226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992845226 |
| Entity Type | Individual |
| Full Name | IRMA JACKSON |
| Practice Address |
1633 Hospital St Greenville MS 38703-3222 |
| Practice Telephone | 6623328177 |
| Practice Fax Number | 6623783783 |
| Mailing Telephone | 6623328177 |
| Mailing Fax Number | 6623783783 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R511587 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123993 | 05 |
| Street Address |
1633 HOSPITAL ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184786717 | Diane Campbell Carlisle | Nurse Practitioner | 1633 Hospital St, Greenville, MS 38703-3222 | 2006-12-13 |
| 1891105318 | Mississippi State Department of Health | Public Health or Welfare | 1633 Hospital St, Greenville, MS 38703-3222 | 2014-05-06 |
| 1164562468 | Ms Dept of Health | Nurse Practitioner | 1633 Hospital St, Greenville, MS 38703-3222 | 2007-02-07 |
| 1912047168 | Carilyn Hudson | Nurse Practitioner | 1633 Hospital St, Greenville, MS 38703-3222 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919710 | Christy Marie South | Nurse Practitioner | 81 Pointe Cir Ste D, Greenville, SC 29615-3505 | 2019-12-19 |
| 1750927893 | Crystal Lynnette Minor | Nurse Practitioner | 1361 Camilla Dr, Greenville, NC 27834-9556 | 2019-11-25 |
| 1174920847 | Tyra L Taylor | Nurse Practitioner | 2 Maple Tree Ct, Bon Secours Ob-gyn, Greenville, SC 29615-4068 | 2014-11-24 |
| 1669747341 | Michaela Buchanan French | Nurse Practitioner | 11 Park Creek Drive, Greenville, SC 29605 | 2012-03-14 |
| 1700196144 | Viktoria Y Morris | Nurse Practitioner | 4311 Wesley Street, Greenville, TX 75403-1908 | 2010-10-19 |
| 1063569952 | Lanika Lennee Wright | Nurse Practitioner | East Carolina Univeristy, 1001 East 5th Street, Greenville, NC 27858 | 2007-01-04 |
| 1184786717 | Diane Campbell Carlisle | Nurse Practitioner | 1633 Hospital St, Greenville, MS 38703-3222 | 2006-12-13 |
| 1134182066 | Kathleen Sue Guetschoff | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2006-04-11 |
| 1447748744 | Mary Betheny Coakley | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2018-04-23 |
| 1679001218 | Brandi Belin Pearson | Nurse Practitioner | 1120 Grove Rd, Greenville, SC 29605-4656 | 2017-05-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
Please comment or provide details below to improve the information on IRMA 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.