Heather Lee Jackson, CNM, MSN | |
12800 Mississippi Pkwy Ste B200, Crown Point, IN 46307-6900 | |
(219) 757-5890 | |
(219) 757-5740 |
Full Name | Heather Lee Jackson |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 12800 Mississippi Pkwy Ste B200, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669090049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
367A00000X | Advanced Practice Midwife | 71010201A (Indiana) | Primary |
Entity Name | Healthlinc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Heather Lee Jackson, CNM, MSN Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Heather Lee Jackson, CNM, MSN 12800 Mississippi Pkwy Ste B200, Crown Point, IN 46307-6900 Ph: (219) 757-5890 |
Lori E Oxley, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 12800 Mississippi Pkwy Ste B200, Crown Point, IN 46307 Phone: 219-757-5890 Fax: 219-757-5740 | |
Shannon Gail Markle, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 12800 Mississippi Pkwy Ste B200, Crown Point, IN 46307 Phone: 219-757-5890 Fax: 219-757-5740 | |
Bernadette K Price, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 297 W Franciscan Dr, Suite 203, Crown Point, IN 46307 Phone: 219-662-6151 Fax: 219-662-6156 | |
Sheryl A. Behnke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 800 W. Burrell Dr, Crown Point, IN 46307 Phone: 219-663-9913 Fax: 219-663-9923 |