| Delisa Jackson, NP | |
|
6600 Lone Tree Way Ste A, Brentwood, CA 94513-5256 | |
| (925) 471-4223 | |
| Not Available |
| Full Name | Delisa Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6600 Lone Tree Way Ste A, Brentwood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699527010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95028931 (California) | Primary |
| Entity Name | Bass Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Delisa Jackson, NP 6600 Lone Tree Way Ste A, Brentwood, CA 94513-5256 Ph: (925) 471-4223 | Delisa Jackson, NP 6600 Lone Tree Way Ste A, Brentwood, CA 94513-5256 Ph: (925) 471-4223 |
Christina Lackland, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2221 Balfour Rd, Brentwood, CA 94513 Phone: 909-908-3690 | |
Lisa S Derita, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1280 Central Blvd Ste J5, Brentwood, CA 94513 Phone: 925-250-2908 | |
Mrs. Sandra Bucic Zarich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 John Muir Pkwy, Brentwood, CA 94513 Phone: 925-513-2483 | |
Christi Rodriguez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2221 Balfour Rd Ste A, Brentwood, CA 94513 Phone: 925-240-9116 Fax: 925-240-9117 | |
Whitney Erin Peek, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 Rio Grande Ct, Brentwood, CA 94513 Phone: 925-699-3425 | |
Nicollette Mitra, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Balfour Rd Ste 302, Brentwood, CA 94513 Phone: 925-285-2649 | |
Ms. Catherine Anne Berg, NP, FNP-BC, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 171 Sand Creek Rd Ste A, Brentwood, CA 94513 Phone: 800-495-8885 |