| Mrs Alyssa Sherrill Jackson, DNP, APRN, FNP-BC | |
|
575 Ingles Dr, Inman, SC 29349-8314 | |
| (864) 342-4090 | |
| (864) 578-7098 |
| Full Name | Mrs Alyssa Sherrill Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 575 Ingles Dr, Inman, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649895251 | NPI | - | NPPES |
| SCJ5525019 | Other | SC | MEDICARE PIN |
| SCJ5526084 | Other | SC | MEDICARE PIN |
| NP7339 | Medicaid | SC | |
| SCJ5526067 | Other | SC | MEDICARE PIN |
| SCJ552J577 | Other | SC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24438 (South Carolina) | Primary |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
| Entity Name | Cherokee Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Alyssa Sherrill Jackson, DNP, APRN, FNP-BC Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Mrs Alyssa Sherrill Jackson, DNP, APRN, FNP-BC 575 Ingles Dr, Inman, SC 29349-8314 Ph: (864) 342-4090 |
Kishimjan Beishenalievna Ketner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Holly Springs Church Rd, Inman, SC 29349 Phone: 864-921-4479 Fax: 864-734-4887 | |
Mrs. Sherry Foster Eison, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 368 Garnet Valley Dr, Inman, SC 29349 Phone: 864-208-4726 | |
Amanda Lee Baxter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542 New Cut Meadows Rd, Inman, SC 29349 Phone: 864-982-4302 | |
Ms. Niccole Marie Shockey, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5535 Highway 9 Ste A, Inman, SC 29349 Phone: 864-764-1050 | |
Mrs. Amber Christine Flynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12230 Asheville Hwy, Inman, SC 29349 Phone: 864-472-2144 | |
Victoria Michelle Cochran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Harris St, Inman, SC 29349 Phone: 864-360-1699 | |
Mrs. Dana Nicole Mccarter, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1220 Parkside Acorn Dr, Inman, SC 29349 Phone: 864-272-0388 |