| Andrea J Jackson, APN | |
|
636 Raymond Dr Ste 303, Naperville, IL 60563-9792 | |
| (630) 653-4240 | |
| (630) 315-1505 |
| Full Name | Andrea J Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 636 Raymond Dr Ste 303, Naperville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447511746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 209-009581 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209009581 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea J Jackson, APN 636 Raymond Dr Ste 303, Naperville, IL 60563-9792 Ph: (630) 653-4240 | Andrea J Jackson, APN 636 Raymond Dr Ste 303, Naperville, IL 60563-9792 Ph: (630) 653-4240 |
Ivy Millar Enger, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Spalding Dr Ste 206, Naperville, IL 60540 Phone: 630-646-7250 Fax: 630-548-7743 | |
Angela Marie Jeffries, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4043 S Route 59, Naperville, IL 60564 Phone: 630-420-4275 Fax: 630-420-8957 | |
Ella Pearl Zuniga, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Spalding Dr Ste 205, Naperville, IL 60540 Phone: 630-491-8310 | |
Joann El Mahassni, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Hobson Rd Ste 232, Naperville, IL 60540 Phone: 630-946-6554 Fax: 877-458-3984 | |
Denise Vigilia, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Spalding Dr. Suite 207, Naperville, IL 60540 Phone: 630-646-6020 Fax: 630-646-6006 | |
Sheila Treftz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr, Suite 401, Naperville, IL 60540 Phone: 630-416-4501 Fax: 630-416-4504 | |
Mrs. Krina Patel, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1309 Macom Dr Ste 101, Naperville, IL 60564 Phone: 630-236-8018 Fax: 630-236-8949 |