| Ms Anitra L Jackson, NP | |
|
310 Smith Ave N, Saint Paul, MN 55102-2393 | |
| (952) 843-4333 | |
| (952) 843-4301 |
| Full Name | Ms Anitra L Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 310 Smith Ave N, Saint Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1497718811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | R1308387 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehabilitation Physicians Of Georgia, P.c. | 4082696109 | 14 |
| Entity Name | Rehabilitation Physicians Of Georgia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144365750 PECOS PAC ID: 4082696109 Enrollment ID: O20040603000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Anitra L Jackson, NP 310 Smith Ave N, Saint Paul, MN 55102-2383 Ph: (952) 843-4333 | Ms Anitra L Jackson, NP 310 Smith Ave N, Saint Paul, MN 55102-2393 Ph: (952) 843-4333 |
Anne Coleman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1953 University Ave W, Saint Paul, MN 55104 Phone: 651-659-0208 Fax: 651-659-0161 | |
Mrs. Channa Roxanne Pittman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1115 Greenbrier St, Saint Paul, MN 55106 Phone: 651-354-4228 Fax: 651-797-4413 | |
Samantha Perkins, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1757 Juliet Ave, Saint Paul, MN 55105 Phone: 651-888-0773 | |
Patra Ann Borden, MSN, APRN, NNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6000 | |
Gretchen Barsch, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 934 Randolph Ave, Saint Paul, MN 55102 Phone: 612-961-6668 | |
Laura Spong, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 Cedar St, Saint Paul, MN 55101 Phone: 651-266-1343 | |
Ms. Lisa Kay Boben, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 225 Smith Ave N # 100, Saint Paul, MN 55102 Phone: 651-292-0616 |