Christa Jackson, | |
1510 E Rusholme St, Davenport, IA 52803-2463 | |
(563) 336-3000 | |
(563) 344-1371 |
Full Name | Christa Jackson |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 14 Years |
Location | 1510 E Rusholme St, Davenport, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760791230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | B118673 (Iowa) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G179008 (Iowa) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesis Health System | 7214841436 | 179 |
Entity Name | Genesis Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20031113000044 |
Entity Name | Community Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932193224 PECOS PAC ID: 9830008895 Enrollment ID: O20040317000776 |
Mailing Address | Practice Location Address |
---|---|
Christa Jackson, 500 W River Dr, Davenport, IA 52801-1014 Ph: (563) 336-3000 | Christa Jackson, 1510 E Rusholme St, Davenport, IA 52803-2463 Ph: (563) 336-3000 |
Lydia Jeanne Swailes, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5350 Eastern Ave., Davenport, IA 52807 Phone: 563-355-1853 Fax: 563-359-1512 | |
Mrs. Laura Elizabeth Sierra, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1510 E Rusholme St, Davenport, IA 52803 Phone: 563-336-3000 Fax: 563-344-1371 | |
Beth Carlson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5350 Eastern Ave., Davenport, IA 52807 Phone: 563-355-1853 Fax: 563-359-1512 | |
Mrs. Heather Faye Mink, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5350 Eastern Avenue, Davenport, IA 52807 Phone: 563-355-1853 | |
Amelia Diane Hobbs, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5350 Eastern Ave, Davenport, IA 52807 Phone: 563-355-1853 | |
Jennifer H. Atzen, ARNP,CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5350 Eastern Ave, Davenport, IA 52807 Phone: 563-355-1853 Fax: 563-359-1512 |