| Mrs Priscilla Jackson, CFNP | |
|
225 Community Drive, Fayette, MS 39069 | |
| (601) 786-8206 | |
| (601) 786-6320 |
| Full Name | Mrs Priscilla Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 225 Community Drive, Fayette, Mississippi |
| 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 |
|---|---|---|---|
| 1962583971 | NPI | - | NPPES |
| 0121708 | Medicaid | MS | |
| 1783048 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R852296 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Natchez | Natchez, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Comprehensive Health Center, Inc. | 0345248100 | 9 |
| Entity Name | Jefferson Comprehensive Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962517185 PECOS PAC ID: 0345248100 Enrollment ID: O20140416001171 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Priscilla Jackson, CFNP 21 N Palestine Rd, Natchez, MS 39120-9007 Ph: (601) 597-0229 | Mrs Priscilla Jackson, CFNP 225 Community Drive, Fayette, MS 39069 Ph: (601) 786-8206 |
Mrs. Crystal S Cook, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Community Drive, Fayette, MS 39069 Phone: 601-786-3475 Fax: 601-786-9980 | |
Jermonique King, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 98, Fayette, MS 39069 Phone: 601-786-3475 Fax: 601-786-9980 | |
India Martin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 870 Main St, Fayette, MS 39069 Phone: 601-786-3401 | |
Sharonda Rogers, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Community Dr, Fayette, MS 39069 Phone: 601-786-3475 | |
Matthew Kevin Bounds, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 821 Main St, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 | |
Aasaylah Mays, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 Gravel Hill Rd, Fayette, MS 39069 Phone: 601-597-4788 | |
Mrs. Veronica R Hutchins-clemons, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 870 Main St Ste A, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 |