Amanda Jackson, RN is a
Registered Nurse - Emergency based in Ellinwood, Kansas. Amanda Jackson is licensed to practice in Kansas (license number 13-132083-062) and her current practice location is
300 N Park Ave, Ellinwood, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 566-1730.
NPI number for Amanda Jackson is 1285457770 and her current mailing address is 300 N Park Ave, Ellinwood, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285457770.
Provider's Profile
Full Name | Amanda Jackson |
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Gender | Female |
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Speciality | Registered Nurse - Emergency |
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Location | 300 N Park Ave, Ellinwood, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285457770
- Provider Enumeration Date: 11/04/2024
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Amanda Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285457770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WE0003X | Registered Nurse - Emergency | 13-132083-062 (Kansas) | 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. Amanda 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 |
Amanda Jackson, RN 300 N Park Ave, Ellinwood, KS 67526-1452 Ph: (620) 566-1730 | Amanda Jackson, RN 300 N Park Ave, Ellinwood, KS 67526-1452 Ph: (620) 566-1730 |
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