| Jackie Smith, ARNP | |
|
4924 Hamilton Dr, Harrisburg, PA 17109-3211 | |
| (813) 409-7046 | |
| Not Available |
| Full Name | Jackie Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 4924 Hamilton Dr, Harrisburg, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184671638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP030875 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connectionspa Llc | 3971038373 | 13 |
| Entity Name | Connectionspa LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952141889 PECOS PAC ID: 3971038373 Enrollment ID: O20241121003906 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Smith, ARNP Po Box 1289, Tampa, FL 33601-1289 Ph: (813) 844-7968 | Jackie Smith, ARNP 4924 Hamilton Dr, Harrisburg, PA 17109-3211 Ph: (813) 409-7046 |
Mrs. Elena Yurievna Nebrat, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568 |
Jonelle R Derk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716 |
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131 |
Irene Nkem, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646 |
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781 |
Gina M Koons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4830 Londonderry Rd, Harrisburg, PA 17109 Phone: 717-657-2595 Fax: 717-657-3091 |
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621 |