Jackson James, April Michelle
Jackson James, April Michelle is an individual health care provider with primary practice located at 5510 N Hesperides St , Tampa FL 33614-5414. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Jackson James, April Michelle can be contacted via phone (813) 467-6111.Contact Information
Primary practice address
5510 N Hesperides St
Tampa FL 33614-5414
Phone: (813) 467-6111
Fax: (407) 467-6111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 2668 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2668 | North Carolina |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 2668 | North Carolina |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 2668 | North Carolina |
Profile Details
| NPI number | 1700953270 |
|---|---|
| LBN Legal business name | Jackson James, April Michelle |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 17th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700953270 | NPPES |
| North Carolina | MEDICAID | 6000295 | |
| North Carolina | Other | 015978 | |
| North Carolina | Other | 2162567 | |
| North Carolina | Other | 010561573 | |
| North Carolina | Other | 016VA | |
| North Carolina | Other | 045G4 | |
| North Carolina | Other | AETNA | |
| North Carolina | MEDICAID | 6005450 |
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