Jackson Healing Arts | |
3130 E. Jackson Blvd., Jackson, MO 63755-2958 | |
(573) 243-5095 | |
Not Available |
Full Name | Jackson Healing Arts |
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Type | Facility |
Speciality | General Practice |
Location | 3130 E. Jackson Blvd., Jackson, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336253574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Timothy S Noel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982957734 PECOS PAC ID: 0840259289 Enrollment ID: I20041011000039 |
Provider Name | Philip Pappas |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356353288 PECOS PAC ID: 7719912914 Enrollment ID: I20050927000672 |
Provider Name | Susan L Weaver |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295074094 PECOS PAC ID: 1456586510 Enrollment ID: I20131025000360 |
Provider Name | Cassandra L Doss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649747403 PECOS PAC ID: 6103160270 Enrollment ID: I20181129002561 |
Provider Name | Karen S Rose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760930465 PECOS PAC ID: 9537448444 Enrollment ID: I20231114002698 |
Mailing Address | Practice Location Address |
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Jackson Healing Arts Po Box 437, Jackson, MO 63755-0437 Ph: (573) 243-5095 | Jackson Healing Arts 3130 E. Jackson Blvd., Jackson, MO 63755-2958 Ph: (573) 243-5095 |