Crystal Jackson, LPN is a
Licensed Practical Nurse based in Mc Intyre, Georgia. Crystal Jackson is licensed to practice in Georgia (license number LPN090801) and her current practice location is
1585 Holloway Ray Rd, Mc Intyre, Georgia. She can be reached at her office (for appointments etc.) via phone at
(478) 234-1166.
NPI number for Crystal Jackson is 1598140725 and her current mailing address is 1585 Holloway Ray Rd, Mc Intyre, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598140725.
Provider's Profile
| Full Name | Crystal Jackson |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1585 Holloway Ray Rd, Mc Intyre, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598140725
- Provider Enumeration Date: 07/29/2015
- Last Update Date: 07/29/2015
Medical Identifiers
Medical identifiers for Crystal Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598140725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN090801 (Georgia) | 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. Crystal 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 |
|---|
Crystal Jackson, LPN
1585 Holloway Ray Rd,
Mc Intyre, GA 31054-2469
Ph: (478) 234-1166 | Crystal Jackson, LPN
1585 Holloway Ray Rd,
Mc Intyre, GA 31054-2469
Ph: (478) 234-1166 |
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