Marita Cecilia Jackson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

338145 Issued in TX

Practice address

327 S Jupiter Rd Apt 924
Allen, TX 75002-3074

Phone

(619) 416-5775

NPI assigned

Feb 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1154821668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S JUPITER RD APT 924",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023074",
            "telephone_number": "619-416-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 S JUPITER RD APT 924",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023074",
            "telephone_number": "619-416-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARITA",
        "middle_name": "CECILIA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "185680",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "338145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J-S Allen Operations, LP
• J. Todd Carruthers, MD, PA
• Jabari Healthcare LLC
• Ashley Marisa Jackson, ATC
• Jerrica A Jackson
• Linda Jacob, DDS
• Mary Deena Jacob, FNP
• Rosy Julie Jacob, FNP-C
• Kimberlyn Jaggers
• Rohan Deepak Jagtap, DMD, MS, OMFR, BDS

• Licensed Vocational Nurse in Allen, TX
• Providers in Allen, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.