| Susan L Jackson, NP | |
|
4300 Bartlett St, Homer, AK 99603-7000 | |
| (907) 235-3225 | |
| (855) 807-0801 |
| Full Name | Susan L Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 4300 Bartlett St, Homer, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578577292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 189929 (Alaska) | Primary |
| 363L00000X | Nurse Practitioner | 97059 (Colorado) | Secondary |
| Entity Name | Denver Health and Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Jackson, NP 4300 Bartlett St, Homer, AK 99603-7000 Ph: (907) 235-8101 | Susan L Jackson, NP 4300 Bartlett St, Homer, AK 99603-7000 Ph: (907) 235-3225 |
Peggy Jean Frazier, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Pioneer Ave Ste 216, Homer, AK 99603 Phone: 907-299-9660 |
Tamara Lynn Shrader, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4136 Bartlett St, Homer, AK 99603 Phone: 907-235-8586 |
Meghan Young, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 W Danview Ave, Homer, AK 99603 Phone: 907-235-7000 |
Susan Michelle Blizzard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 W Danview Ave Ste 201, Homer, AK 99603 Phone: 907-235-7000 Fax: 907-235-4050 |
Donna Jean Rollins, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4251 Bartlett St, Homer, AK 99603 Phone: 907-235-7202 Fax: 907-235-7228 |
Anna Jeanne Williams, ANP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4136 Bartlett St, Homer, AK 99603 Phone: 907-235-8586 |
Melissa Ann Bunker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 E End Rd, Homer, AK 99603 Phone: 907-226-2228 Fax: 907-226-2230 |