Jennifer A Campbell Jackson, | |
95 Tremont St Ste 2, Duxbury, MA 02332-4738 | |
(617) 213-0624 | |
Not Available |
Full Name | Jennifer A Campbell Jackson |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 95 Tremont St Ste 2, Duxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508623943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2325032 (Massachusetts) | Primary |
Entity Name | Colony Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720053408 PECOS PAC ID: 0042282055 Enrollment ID: O20040810001192 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Campbell Jackson, 115 Bianca Rd, Duxbury, MA 02332-3507 Ph: (808) 854-6693 | Jennifer A Campbell Jackson, 95 Tremont St Ste 2, Duxbury, MA 02332-4738 Ph: (617) 213-0624 |
Jeffrey Steven Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 2438, Duxbury, MA 02331 Phone: 781-291-0746 | |
Kathryn Atkin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Tremont St, Duxbury, MA 02332 Phone: 781-934-7592 | |
Colin Mcwilliams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 251 Tremont St, Duxbury, MA 02332 Phone: 781-249-5960 | |
Katherine Dobrowski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Tremont St Ste 10, Duxbury, MA 02332 Phone: 781-934-0060 | |
Derek Martin Cummings, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 332 Keene St, Duxbury, MA 02332 Phone: 781-727-9558 | |
Mrs. Gabrielle Erica Mahoney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 286 Kingstown Way, Duxbury, MA 02332 Phone: 781-582-1402 |