| Jackson Son, FNP | |
|
5039 Americana Dr, Annandale, VA 22003-5068 | |
| (571) 524-0881 | |
| Not Available |
| Full Name | Jackson Son |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5039 Americana Dr, Annandale, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265291272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024189383 (Virginia) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Son, FNP 5039 Americana Dr, Annandale, VA 22003-5068 Ph: (571) 524-0881 | Jackson Son, FNP 5039 Americana Dr, Annandale, VA 22003-5068 Ph: (571) 524-0881 |
Dr. James Gavin Wallace-mercado, DNP, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4540b John Marr Dr, Annandale, VA 22003 Phone: 703-941-6757 | |
Anais U Schultz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7895 Patriot Dr, Annandale, VA 22003 Phone: 000-000-0000 | |
Stacey L Merritt Baker, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6923 Colburn Dr, Annandale, VA 22003 Phone: 571-730-0332 | |
Courtney Patricia Dannahey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7617 Little River Tpke Ste 710, Annandale, VA 22003 Phone: 703-941-0267 | |
Ms. Carmella Simmons, MS RN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7215 Jayhawk St, Annandale, VA 22003 Phone: 703-914-0222 | |
Rachel Schwartz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7305 Beverly Manor Dr, Annandale, VA 22003 Phone: 703-869-2645 | |
Mrs. Mary Patricia White, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7611 Little River Tpke, Suite 108, Annandale, VA 22003 Phone: 703-658-7060 Fax: 703-658-3150 |