Laverne L Jackson, RN,ICADC - Registered Nurse in Conyers, GA

Laverne L Jackson, RN,ICADC is a Registered Nurse - Community Health based in Conyers, Georgia. Laverne L Jackson is licensed to practice in Georgia (license number RN158642) and her current practice location is 977a Taylor St Sw, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 918-6677.

NPI number for Laverne L Jackson is 1295897189 and her current mailing address is 1894 Delphine Dr, Decatur, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295897189.

Contact Information

Laverne L Jackson, RN,ICADC
977a Taylor St Sw,
Conyers, GA 30012-5357
(770) 918-6677
Not Available

Map and Direction




Provider's Profile

Full NameLaverne L Jackson
GenderFemale
SpecialityRegistered Nurse - Community Health
Location977a Taylor St Sw, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295897189
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Laverne L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295897189NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health RN158642 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laverne L Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laverne L Jackson, RN,ICADC
1894 Delphine Dr,
Decatur, GA 30032-3927

Ph: () -
Laverne L Jackson, RN,ICADC
977a Taylor St Sw,
Conyers, GA 30012-5357

Ph: (770) 918-6677

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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