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JACKSON HEALTHCARE CLINIC LLC
NPI 1639778731
Nurse Practitioner - Family in Parkersburg, WV

Active since October 20, 2020
2107 PIKE ST STE 3, PARKERSBURG, WV 26101(681) 229-0984(681) 229-0985 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Healthcare Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HEALTHCARE CLINIC LLC (NPI 1639778731) is a healthcare organization registered as a family in Parkersburg, West Virginia and active in the NPI registry since October 2020. The organization lists Alisha Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639778731
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJACKSON HEALTHCARE CLINIC LLC
Location Address2107 PIKE ST STE 3Parkersburg, WV 26101-6973
Mailing Address2107 Pike St Ste 3Parkersburg, WV 26101-6973 · (681) 229-0984 · Fax (681) 229-0985
Phone(681) 229-0984
Fax(681) 229-0985
Organization SubpartNo
Authorized OfficialAlisha JacksonOwner · (304) 210-0061
Enumeration DateOctober 20, 2020
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1639778731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2107 PIKE ST STE 3, Parkersburg, WV 26101
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Other Identifiers 1

Other1215491006Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY E CHRISTIAN
Nurse Practitioner (Family)
2107 PIKE ST STE 3
PARKERSBURG, WV 26101
Wood County (740) 228-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Healthcare Clinic LLC's NPI number?

The NPI number for Jackson Healthcare Clinic LLC is 1639778731. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Jackson Healthcare Clinic LLC located?

Jackson Healthcare Clinic LLC is located at 2107 Pike St Ste 3, Parkersburg, WV 26101. The listed phone number is (681) 229-0984.

What is Jackson Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jackson Healthcare Clinic LLC was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.