| Mrs Natasha Yvonne Jackson-cannon, AG-ACNP | |
|
756 N Suncoast Blvd, Crystal River, FL 34429-9072 | |
| (352) 346-3127 | |
| (352) 581-6226 |
| Full Name | Mrs Natasha Yvonne Jackson-cannon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 756 N Suncoast Blvd, Crystal River, Florida |
| 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 |
|---|---|---|---|
| 1578997136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WS0200X | Registered Nurse - School | RN 9355976 (Florida) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | APRN11006144 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chma Of Fl, Pllc | 8123420643 | 27 |
| Entity Name | Chma Of Fl, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912581653 PECOS PAC ID: 8123420643 Enrollment ID: O20210707000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Natasha Yvonne Jackson-cannon, AG-ACNP 756 N Suncoast Blvd, Crystal River, FL 34429-9072 Ph: (352) 346-3127 | Mrs Natasha Yvonne Jackson-cannon, AG-ACNP 756 N Suncoast Blvd, Crystal River, FL 34429-9072 Ph: (352) 346-3127 |
Jan Michelle Lomanta Roflo, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6216 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-613-5853 | |
Dawn Starre Coull, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 | |
Jacqueline Duncan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 N Suncoast Blvd, Suite 1c, Crystal River, FL 34428 Phone: 352-794-0878 Fax: 352-794-0877 | |
Mrs. Amanda Carroll Dickert, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6199 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-795-0644 | |
Ms. Janet K Slawinski, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7562 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-436-4328 Fax: 352-260-0960 | |
Mary-ellen Macdonald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6038 W Nordling Loop, Crystal River, FL 34429 Phone: 352-563-5070 Fax: 352-795-4322 | |
Mrs. Margie Maureen Leturno, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7006 W Gulf To Lake Hwy, Crystal River, FL 34429 Phone: 352-795-8309 Fax: 352-795-8369 |