Miss Tabetha Nicole Jackson, LCSW is a
Social Worker - Clinical based in Nashville, North Carolina. Miss Tabetha Nicole Jackson is licensed to practice in North Carolina (license number C007907) and her current practice location is
513 Amerson Ct # B, Nashville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 955-3744.
NPI number for Miss Tabetha Nicole Jackson is 1588327555 and her current mailing address is 513 Amerson Ct # B, Nashville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588327555.
Healthcare Provider's Profile
Full Name | Miss Tabetha Nicole Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 513 Amerson Ct # B, Nashville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588327555
- Provider Enumeration Date: 10/18/2021
- Last Update Date: 10/18/2021
Medical Identifiers
Medical identifiers for Miss Tabetha Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588327555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C007907 (North Carolina) | 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. Miss Tabetha Nicole 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 |
Miss Tabetha Nicole Jackson, LCSW 513 Amerson Ct # B, Nashville, NC 27856-1151 Ph: (252) 955-3744 | Miss Tabetha Nicole Jackson, LCSW 513 Amerson Ct # B, Nashville, NC 27856-1151 Ph: (252) 955-3744 |
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