Donna J Jackson, is a
Registered Nurse based in Castalian Springs, Tennessee. Donna J Jackson is licensed to practice in Tennessee (license number 0000177401) and her current practice location is
118 E Robertson Rd, Castalian Springs, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(317) 407-7302.
NPI number for Donna J Jackson is 1659835411 and her current mailing address is 118 E Robertson Rd, Castalian Springs, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659835411.
Provider's Profile
| Full Name | Donna J Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
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| Location | 118 E Robertson Rd, Castalian Springs, Tennessee |
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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: 1659835411
- Provider Enumeration Date: 01/25/2019
- Last Update Date: 01/25/2019
Medical Identifiers
Medical identifiers for Donna J Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659835411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0000177401 (Tennessee) | 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. Donna J 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 |
|---|
Donna J Jackson,
118 E Robertson Rd,
Castalian Springs, TN 37031-4610
Ph: (317) 407-7302 | Donna J Jackson,
118 E Robertson Rd,
Castalian Springs, TN 37031-4610
Ph: (317) 407-7302 |
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