| Gillian C Jackman, | |
|
12112 Ledbury Commons Dr, Gibsonton, FL 33534-3027 | |
| (727) 386-0640 | |
| Not Available |
| Full Name | Gillian C Jackman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 12112 Ledbury Commons Dr, Gibsonton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346957107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022643 (Florida) | Primary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Gillian C Jackman, 12112 Ledbury Commons Dr, Gibsonton, FL 33534-3027 Ph: (727) 386-0640 | Gillian C Jackman, 12112 Ledbury Commons Dr, Gibsonton, FL 33534-3027 Ph: (727) 386-0640 |
Danielle Winston, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12122 Fern Haven Ave, Gibsonton, FL 33534 Phone: 414-336-4167 | |
Kellaney Pieniazek, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6921 Waterbrook Ct, Gibsonton, FL 33534 Phone: 813-525-5463 | |
Ms. Daphne Louise Weeks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12220 Ledbury Commons Dr, Gibsonton, FL 33534 Phone: 888-888-8888 | |
Brittany Fillmore, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11535 Tangle Creek Blvd, Gibsonton, FL 33534 Phone: 813-727-8267 | |
Leira Marie Santana, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8118 Rothbury Hills Pl, Gibsonton, FL 33534 Phone: 413-885-8046 | |
Tammy Lynn Hahn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13031 Wyandotte Rd, Gibsonton, FL 33534 Phone: 813-630-6943 Fax: 813-635-1796 |