| Ms Tara Leigh Jackson, FNP-BC | |
|
123 James River & Kanawha Turnpike, Ansted, WV 25812 | |
| (304) 228-6809 | |
| (304) 658-4690 |
| Full Name | Ms Tara Leigh Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 123 James River & Kanawha Turnpike, Ansted, West Virginia |
| 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 |
|---|---|---|---|
| 1790028082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 67047 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Raleigh General Hospital | Beckley, WV | Hospital |
| Entity Name | Geps Physician Group Of West Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457729212 PECOS PAC ID: 6800105446 Enrollment ID: O20151021001008 |
| Entity Name | Hospice Of Southern West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871686717 PECOS PAC ID: 4981600228 Enrollment ID: O20161031000369 |
| Entity Name | Alignmed Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180205001943 |
| Entity Name | Alignmed Medical Group Wv Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003647462 PECOS PAC ID: 8527591148 Enrollment ID: O20241104001848 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara Leigh Jackson, FNP-BC 123 James River & Kanawha Turnpike, Ansted, WV 25812 Ph: (304) 228-6809 | Ms Tara Leigh Jackson, FNP-BC 123 James River & Kanawha Turnpike, Ansted, WV 25812 Ph: (304) 228-6809 |
Patricia Lewis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box A, Ansted, WV 25812 Phone: 304-658-6005 Fax: 314-472-1362 | |
Ms. Shawna Lynn Adkins-cox, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 James River & Kanawha Turnpike, Ansted, WV 25812 Phone: 304-222-4756 Fax: 304-658-4690 |