| Nashamba Jackson-bracey, FNP-C | |
|
4490 Highway 80 E Ste A, Pearl, MS 39208-4213 | |
| (601) 337-8900 | |
| Not Available |
| Full Name | Nashamba Jackson-bracey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4490 Highway 80 E Ste A, Pearl, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558812263 | NPI | - | NPPES |
| 1740742329 | Other | MS | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 881624 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F0815355 (Mississippi) | Primary |
| Entity Name | Family Health Care Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Nashamba Jackson-bracey, FNP-C 4490 Highway 80 E Ste A, Pearl, MS 39208-4213 Ph: (601) 337-8900 | Nashamba Jackson-bracey, FNP-C 4490 Highway 80 E Ste A, Pearl, MS 39208-4213 Ph: (601) 337-8900 |
Deidra Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020 | |
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246 | |
Jade Alexandra Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124 | |
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 |