| Teresa A Jackson, ARNP | |
|
20612 Nw 27th Ave, Miami Gardens, FL 33056-1469 | |
| (305) 637-6400 | |
| (305) 636-5155 |
| Full Name | Teresa A Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 20612 Nw 27th Ave, Miami Gardens, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528160181 | NPI | - | NPPES |
| 303067900 | Medicaid | FL | |
| 021212500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2904542 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2904542 (Florida) | Primary |
| Entity Name | Jessie Trice Community Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689605362 PECOS PAC ID: 2961486733 Enrollment ID: O20041020000714 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa A Jackson, ARNP 5607 Nw 27th Ave Ste 1, Miami, FL 33142-2826 Ph: (305) 805-1700 | Teresa A Jackson, ARNP 20612 Nw 27th Ave, Miami Gardens, FL 33056-1469 Ph: (305) 637-6400 |
Marisol D Casas Buchillon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19150 Nw 44th Ave, Miami Gardens, FL 33055 Phone: 786-663-8524 | |
Drayshawn Oliver, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3470 Nw 194th St, Miami Gardens, FL 33056 Phone: 786-587-0979 | |
Mrs. Youseline Augustin-trevol, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1466nw 208th St, 1466 Nw 208 St Miami Gardens Fl 33169, Miami Gardens, FL 33169 Phone: 305-586-6190 | |
Joy J Munajj-brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20612 Nw 27th Ave, Miami Gardens, FL 33056 Phone: 305-637-6400 Fax: 305-636-5155 | |
Misleidys Rivero Martin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Nw 175th St, Miami Gardens, FL 33056 Phone: 305-336-8304 | |
Tania Gonzalez Diaz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18463 Nw 52nd Psge, Miami Gardens, FL 33055 Phone: 786-269-1606 | |
Miguel Angel Arredondo Lopez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Nw 62nd Ave Ste 300, Miami Gardens, FL 33015 Phone: 305-628-4600 Fax: 305-628-8090 |