Morgan Jackson, RN, CDCA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.456286 Issued in OH

Practice address

1616 Grant St
Portsmouth, OH 45662-3663

Phone

(740) 529-7356

Fax

(740) 529-1351

NPI assigned

Dec 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1124599014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GRANT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623663",
            "telephone_number": "740-529-7356",
            "fax_number": "740-529-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GRANT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623663",
            "telephone_number": "740-529-7356",
            "fax_number": "740-529-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Washington St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623919",
            "country_code": "US",
            "telephone_number": "740-353-8863",
            "fax_number": "740-354-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MORGAN",
        "credential": "RN, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.168866",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.456286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY PROFESSIONALS BOARD",
            "identifier": "CDCA.168866",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO NURSING",
            "identifier": "RN.456286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Ison
• Janell D. Ison, D.O.
• Sheridan Ison, LPN
• Crystal Jacks
• Amber Nicole Jackson
• Richard Jackson
• Adam S Jacobs, COTA
• Norman M Jacobs, MD
• Bryant Christopher Jamison
• Dara Jamison

• All providers in Portsmouth, OH
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.