| Dana Andrea Jackson, | |
|
215 S Anderson St, Tullahoma, TN 37388-3735 | |
| (931) 563-7464 | |
| (931) 563-7401 |
| Full Name | Dana Andrea Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 215 S Anderson St, Tullahoma, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306330840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN24018 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tlc Family Health And Hormonepllc | 8729327317 | 2 |
| Entity Name | Tlc Family Health & Hormonepllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164993689 PECOS PAC ID: 8729327317 Enrollment ID: O20190226001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Andrea Jackson, Po Box 326, Winchester, TN 37398-0326 Ph: (931) 563-7464 | Dana Andrea Jackson, 215 S Anderson St, Tullahoma, TN 37388-3735 Ph: (931) 563-7464 |
Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829 | |
Kellie Marsh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Ledford Mill Rd, Tullahoma, TN 37388 Phone: 931-841-3311 | |
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040 | |
Mia Jones Clermont, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln Ste 900, Tullahoma, TN 37388 Phone: 931-455-2674 | |
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677 | |
Kacy Mikala Kirk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-455-3400 | |
Kristen George, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Westside Dr Ste 4, Tullahoma, TN 37388 Phone: 931-993-2508 Fax: 877-832-3242 |