Ms Markquetta Renee Jackson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Douglass Hills, Kentucky. Her current practice location is
406 Blankenbaker Pkwy Ste C1, Douglass Hills, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 654-9575.
Ms Markquetta Renee Jackson is licensed to practice in Kentucky (license number 3008203) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013358183.
Provider's Profile
Full Name | Ms Markquetta Renee Jackson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 406 Blankenbaker Pkwy Ste C1, Douglass Hills, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Markquetta Renee Jackson attended and graduated from in
NPI Data:
- NPI Number: 1013358183
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Markquetta Renee Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013358183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 842906 (Nevada) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3008203 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3008203 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Markquetta Renee Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Markquetta Renee Jackson, PMHNP 2200 Paseo Verde Pkwy Ste 190, Henderson, NV 89052-2703 Ph: (702) 589-4871 | Ms Markquetta Renee Jackson, PMHNP 406 Blankenbaker Pkwy Ste C1, Douglass Hills, KY 40243-1881 Ph: (502) 654-9575 |
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