Pamela Jackson, PHD, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-158127 Issued in AL

Practice address

2216 Chapel Hill Rd
Hoover, AL 35216-5108

Phone

(205) 701-1965

NPI assigned

Oct 20, 2023

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD Authorized official

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1417739616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 CHAPEL HILL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 CHAPEL HILL RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165108",
            "telephone_number": "205-701-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PAMELA",
        "credential": "PHD, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95283745",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-158127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Devine Counseling LLC
• Briana Jackson, RBT
• Christopher Ryan Jackson, ALC, MA, NCC
• Heather Aline Jackson
• James Arthur Jackson, PHARMD
• Samone J Jackson, OT
• Stacie W Jackson, OTR/L
• Joshua Allen Jacobs, PHARM D
• Kenneth Aaron Jaffe, M.D.
• Archana Jain, M.D.

• Registered Nurse in Hoover, AL
• Providers in Hoover, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.