Teresa A Jackson, ARNP | |
4692 Nw 183rd St, Miami Gardens, FL 33055-3054 | |
(305) 637-6400 | |
(305) 623-0998 |
Full Name | Teresa A Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4692 Nw 183rd St, 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 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 4692 Nw 183rd St, Miami Gardens, FL 33055-3054 Ph: (305) 637-6400 | Teresa A Jackson, ARNP 4692 Nw 183rd St, Miami Gardens, FL 33055-3054 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 | |
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 | |
Claudia Abreu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Nw 183rd St # 103, Miami Gardens, FL 33169 Phone: 862-217-6133 | |
Misleidys Rivero Martin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare 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 | |
Maria Ofelia Mirabal, 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 |