Brenda A L Jackson, CNM is a
Advanced Practice Midwife based in Kaneohe, Hawaii. Brenda A L Jackson is licensed to practice in Hawaii (license number APRN-89) and her current practice location is
45-602 Kamehameha Hwy, Kaneohe, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 432-3800.
NPI number for Brenda A L Jackson is 1336295286 and her current mailing address is 45-602 Kamehameha Hwy, Kaneohe, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336295286.
Provider's Profile
| Full Name | Brenda A L Jackson |
|---|
| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 45-602 Kamehameha Hwy, Kaneohe, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336295286
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 08/21/2009
Medical Identifiers
Medical identifiers for Brenda A L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336295286 | NPI | - | NPPES |
| 54134302 | Medicaid | HI | |
| 00A0229342 | Other | HI | HMSA BILLING NUMBER |
| 61565108 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | APRN-89 (Hawaii) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN-89 (Hawaii) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN-89 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda A L Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda A L Jackson, CNM
45-602 Kamehameha Hwy,
Kaneohe, HI 96744-2017
Ph: (808) 432-3800 | Brenda A L Jackson, CNM
45-602 Kamehameha Hwy,
Kaneohe, HI 96744-2017
Ph: (808) 432-3800 |
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