Deborah Jackson, RN BSN CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

61638 Issued in TN

Practice address

9939 Rolling Wind Dr
Soddy Daisy, TN 37379-3549

Phone

(423) 243-4272

NPI assigned

Feb 2, 2023

Last updated

Feb 2, 2023By the provider in NPPES

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

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1932805892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 ROLLING WIND DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373793549",
            "telephone_number": "423-243-4272",
            "fax_number": "877-211-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 ROLLING WIND DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373793549",
            "telephone_number": "423-243-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "RN BSN CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TN",
            "license": "61638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Lea Housewright, R.N.
• HP/Soddy Daisy of Tennessee, Inc. (Soddy Daisy Convalescent Center)
• I Care Eyecare
• Independent Physical Therapy LLC
• Kelly Catheryn Ireland, DPT
• Jeffrey L. Brewer DDS PC
• Ashley L Johnson, CPHT
• Sonya Lashawn Johnson, MD
• Marcus Jones
• Joseph Sease DMD PLCC (Soddy Daisy Pediatric Dentistry)

• Case Management Registered Nurse in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Case Management Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.