Carla M. Michel Jackson, RN, MSN, RNC, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71000549A Issued in IN

Practice address

1033 E Mount Pleasant Rd
Evansville, IN 47725-7149

Phone

(812) 469-3706

NPI assigned

Mar 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1194142257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 BAUMGART RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477251378",
            "telephone_number": "812-430-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 E MOUNT PLEASANT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257149",
            "telephone_number": "812-469-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CARLA",
        "middle_name": "M. MICHEL",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, RNC, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71000549A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Alex Rang DDS PC
• J. Phyllis Women'S Specialties, LLC
• Angela Jackman
• Alexandria Marie Jackson
• Alexis Anne Jackson
• Dionna Jackson, PHARMD
• Eric Steed Jackson, M.D.
• Keisha G Jackson, LSW
• Sydney Lyn Jackson
• Cassidy Lynn Jacobs, MSN, FNP-C

• Women's Health Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.