Brian Jeffry Jackson, NP | |
2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | |
(949) 760-9222 | |
Not Available |
Full Name | Brian Jeffry Jackson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2075 San Joaquin Hills Rd, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174080030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95010531 (California) | Primary |
Entity Name | Hospitalist Medicine Physicians Of New Mexico - Clovis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477031094 PECOS PAC ID: 0345618849 Enrollment ID: O20221114002666 |
Mailing Address | Practice Location Address |
---|---|
Brian Jeffry Jackson, NP 3801 Marquette Pl Apt 4c, San Diego, CA 92106-1059 Ph: (541) 550-6572 | Brian Jeffry Jackson, NP 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 Ph: (949) 760-9222 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Defilippo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Mallory Marino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-421-7019 | |
Linda Joyce Buck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Avocado Ave, Newport Beach, CA 92660 Phone: 949-763-2204 Fax: 949-536-8036 |