| Mrs Koscher Denee Jackson, NP | |
|
613 Marquette Rd, Brandon, MS 39042-3038 | |
| (601) 824-0342 | |
| (601) 824-0349 |
| Full Name | Mrs Koscher Denee Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 613 Marquette Rd, Brandon, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417350182 | NPI | - | NPPES |
| R865579 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R865579 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R865579 (Mississippi) | Primary |
| Entity Name | Region Ten State Of Ms |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073626511 PECOS PAC ID: 4284605353 Enrollment ID: O20040803000571 |
| Entity Name | Madison Rankin Simpson Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063428761 PECOS PAC ID: 4284671181 Enrollment ID: O20050412001203 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Koscher Denee Jackson, NP Po Box 88, Brandon, MS 39043-0088 Ph: (601) 824-0342 | Mrs Koscher Denee Jackson, NP 613 Marquette Rd, Brandon, MS 39042-3038 Ph: (601) 824-0342 |
Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342 | |
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 | |
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Highway 468, Brandon, MS 39042 Phone: 601-824-0988 Fax: 601-824-0987 | |
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627 | |
Mr. Joseph Doyle Jones, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Lake Harbor Rd, Brandon, MS 39047 Phone: 601-259-6979 | |
Kenneth John Risinger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 E Government St, Brandon, MS 39042 Phone: 903-824-8880 | |
Kelli Jean Huggins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 Pinebrook Cir, Brandon, MS 39047 Phone: 662-739-3576 |