| Michelle Ebong Jackson-tucker, APRN | |
|
3525 Fm 2484, Salado, TX 76571-6169 | |
| (254) 947-7500 | |
| (254) 947-7521 |
| Full Name | Michelle Ebong Jackson-tucker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3525 Fm 2484, Salado, Texas |
| 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 |
|---|---|---|---|
| 1053872036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP141208 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seton Family Of Doctors | 0941333280 | 721 |
| Entity Name | Providence Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
| Entity Name | Seton Family Of Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
| Entity Name | Curana Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20110427000111 |
| Entity Name | Ch Specialty Services Tx Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306225701 PECOS PAC ID: 6507173291 Enrollment ID: O20150912000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ebong Jackson-tucker, APRN Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Michelle Ebong Jackson-tucker, APRN 3525 Fm 2484, Salado, TX 76571-6169 Ph: (254) 947-7500 |
Lori A Talbott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Fm 2484, Salado, TX 76571 Phone: 254-947-7500 | |
Marcie Marie Vasquez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1313 N Stagecoach Rd, Salado, TX 76571 Phone: 254-346-4029 | |
Katrina Channele Locklin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1348 Kyleigh Dr, Salado, TX 76571 Phone: 254-220-1391 | |
Sheila Ann Tauferner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1607 Indian Trail, Salado, TX 76571 Phone: 817-681-4736 | |
Mrs. Coreen Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Fm 2484, Salado, TX 76571 Phone: 254-947-7500 Fax: 254-947-7521 |