| Raven Neal-jackson, | |
|
1655 Holland Rd, Maumee, OH 43537-1656 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Raven Neal-jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1655 Holland Rd, Maumee, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487357729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.492340 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0035788 (Ohio) | Primary |
| Entity Name | Neighborhood Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720135304 PECOS PAC ID: 2668466012 Enrollment ID: O20040409000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Neal-jackson, 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (513) 873-1269 | Raven Neal-jackson, 1655 Holland Rd, Maumee, OH 43537-1656 Ph: (833) 510-4357 |
Mrs. Rachel Lee Pfaff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1661 Holland Rd Ste 100, Maumee, OH 43537 Phone: 419-794-1105 | |
Megan Palmer, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 10, Maumee, OH 43537 Phone: 419-887-0803 | |
Timothy W Haupricht, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1715 Indian Wood Cir Ste 266&265, Maumee, OH 43537 Phone: 419-578-8594 Fax: 855-618-2622 | |
Tracey Begley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Monclova Rd Ste 320, Maumee, OH 43537 Phone: 419-893-7134 Fax: 419-893-6942 | |
Cassandra June Kaiser-barrow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Wheatstone Ct, Maumee, OH 43537 Phone: 419-866-6200 | |
Heather Cole, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 513-834-7063 Fax: 513-873-1567 | |
Kevin Creedon, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd Ste 201, Maumee, OH 43537 Phone: 419-794-7700 Fax: 419-794-7715 |