Evae Jackson, LPN is a
Licensed Practical Nurse based in Cockeysville, Maryland. Evae Jackson is licensed to practice in New York (license number 338537) and her current practice location is
7 Willow Tree Garth Apt D, Cockeysville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(732) 900-6493.
NPI number for Evae Jackson is 1801494034 and her current mailing address is 7 Willow Tree Garth Apt D, Cockeysville, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801494034.
Provider's Profile
| Full Name | Evae Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 7 Willow Tree Garth Apt D, Cockeysville, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801494034
- Provider Enumeration Date: 10/09/2020
- Last Update Date: 10/09/2020
Medical Identifiers
Medical identifiers for Evae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801494034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 338537 (New York) | 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. Evae 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 |
Evae Jackson, LPN 7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276 Ph: (732) 900-6493 | Evae Jackson, LPN 7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276 Ph: (732) 900-6493 |
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