| Danelle Lyn Jackson, APN | |
|
2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 | |
| (928) 854-1800 | |
| Not Available |
| Full Name | Danelle Lyn Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2090 Smoketree Ave N, Lake Havasu City, Arizona |
| 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 |
|---|---|---|---|
| 1801232954 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 104 |
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Danelle Lyn Jackson, APN Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Danelle Lyn Jackson, APN 2090 Smoketree Ave N, Lake Havasu City, AZ 86403-5806 Ph: (928) 854-1800 |
Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462 | |
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011 | |
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672 | |
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060 | |
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293 |