Tina Jackson, LPN is a
Licensed Practical Nurse based in Eastampton, New Jersey. Tina Jackson is licensed to practice in New Jersey (license number 26NP05502400) and her current practice location is
1 Arden Ln Apt A, Eastampton, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(800) 950-6066.
NPI number for Tina Jackson is 1679723977 and her current mailing address is 1 Arden Ln Apt A, Eastampton, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679723977.
Provider's Profile
| Full Name | Tina Jackson |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1 Arden Ln Apt A, Eastampton, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679723977
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 09/23/2008
Medical Identifiers
Medical identifiers for Tina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679723977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 26NP05502400 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tina Jackson, LPN
1 Arden Ln Apt A,
Eastampton, NJ 08060-3371
Ph: (800) 950-6066 | Tina Jackson, LPN
1 Arden Ln Apt A,
Eastampton, NJ 08060-3371
Ph: (800) 950-6066 |
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