| Kathleen J Jackson, RN-APN | |
|
602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108-3642 | |
| (856) 946-5180 | |
| (856) 946-5181 |
| Full Name | Kathleen J Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 602 W Cuthbert Blvd Unit 26, Haddon Township, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073619037 | NPI | - | NPPES |
| 9765851 | Other | NJ | CIGNA |
| 60037187 | Other | NJ | HORIZON NJ HEALTH |
| P3845837/2854869 | Other | NJ | OXFORD/UNITED HLTH. |
| 8780803 | Medicaid | NJ |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen J Jackson, RN-APN 602 Wcuthbert Blvd Unit 26 Ste A, Unit 26, Suite A, Westmont, NJ 08108-4197 Ph: (856) 946-5180 | Kathleen J Jackson, RN-APN 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108-3642 Ph: (856) 946-5180 |
Tyreasea Anicha Johnson-mason, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 215 Highland Ave Ste 100, Haddon Township, NJ 08108 Phone: 609-350-4792 Fax: 856-823-1922 | |
Amy Parker, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 Phone: 856-946-5180 Fax: 856-946-5181 | |
Roisin Harvey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 W Albertson Ave, Haddon Township, NJ 08108 Phone: 203-217-9221 | |
Dr. Dara Whalen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Haddon Ave, Haddon Township, NJ 08108 Phone: 856-869-7504 | |
Gabriel Albanese, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Highland Ave Ste C, Haddon Township, NJ 08108 Phone: 856-220-5865 | |
Kelli Bianchini, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Virginia Ave, Haddon Township, NJ 08108 Phone: 856-577-9581 |