| Tara Y Jackson, CRNP SP020082 | |
|
680 Blair Mill Rd, Horsham, PA 19044-2223 | |
| (215) 902-9014 | |
| Not Available |
| Full Name | Tara Y Jackson |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 680 Blair Mill Rd, Horsham, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124583653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN527439L (Pennsylvania) | Primary |
| 363LF0000X | Nurse Practitioner - Family | SP020082 (Pennsylvania) | Secondary |
| Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Y Jackson, CRNP SP020082 680 Blair Mill Rd, Horsham, PA 19044-2223 Ph: (215) 902-9014 | Tara Y Jackson, CRNP SP020082 680 Blair Mill Rd, Horsham, PA 19044-2223 Ph: (215) 902-9014 |
Katelyn Nicole Hann, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 570-814-2683 | |
Mrs. Barbara Marie Jacobson, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 267-446-6285 Fax: 877-383-8544 | |
Margaret A Mclaughlin, CRNP RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 267-965-7962 | |
Christine Lynn Polochak, CRNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 724-977-0339 | |
Mrs. Jennifer Edwards, MSN FNP-C Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 267-446-7398 | |
Ms. Darleen Marie Sawyer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 680 Blair Mill Rd, Horsham, PA 19044 Phone: 609-220-7437 |