Felicia Athens Jackson, PH.D., MCJ, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN269287 Issued in OH

Practice address

4634 Belfast Dr
Columbus, OH 43227-2527

Phone

(614) 861-0983

Fax

(614) 860-0487

NPI assigned

Jul 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

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

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1497953152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 BELFAST DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272527",
            "telephone_number": "614-861-0983",
            "fax_number": "614-860-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 BELFAST DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432272527",
            "telephone_number": "614-861-0983",
            "fax_number": "614-860-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FELICIA",
        "middle_name": "ATHENS",
        "name_prefix": "Dr.",
        "credential": "PH.D., MCJ, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN26987",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN269287",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "RN269287",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN269287",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN269287",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN269287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Jackson
• Edna Jackson
• Elaina N Jackson
• Elizabeth Irene Jackson, M.D.
• Elyshua Renee Jackson, LISW
• Francesca Jackson, OTR/L
• Fredriona Marie Jackson, STNA
• Haley Jackson
• Heather D. Jackson, PA-C
• Jalyn M Jackson

• Community Health Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Community Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.