| 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 | 
| Lucnie Civil,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9416 Cypress Harbor Dr, Gibsonton, FL 33534 Phone: 407-754-7897 | |
| Ms. Suhvanna Victoria Lamar,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6933 Crown Lake Dr, Gibsonton, FL 33534 Phone: 727-470-1063 | |
| 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: Not Enrolled in Medicare 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 |