Evelyn Anita Jackson, RN - Registered Nurse in Buffalo, NY

Evelyn Anita Jackson, RN is a Registered Nurse - Psychiatric/mental Health based in Buffalo, New York. Evelyn Anita Jackson is licensed to practice in New York (license number 459958) and her current practice location is 400 Forest Ave, Buffalo, New York. She can be reached at her office (for appointments etc.) via phone at (716) 816-2444.

NPI number for Evelyn Anita Jackson is 1457113771 and her current mailing address is 619 Lisbon Ave, Buffalo, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457113771.

Contact Information

Evelyn Anita Jackson, RN
400 Forest Ave,
Buffalo, NY 14213-1207
(716) 816-2444
Not Available

Map and Direction




Provider's Profile

Full NameEvelyn Anita Jackson
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location400 Forest Ave, Buffalo, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457113771
  • Provider Enumeration Date: 01/24/2024
  • Last Update Date: 01/24/2024

Medical Identifiers

Medical identifiers for Evelyn Anita Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457113771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 450058 (New York)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 459958 (New York)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. Evelyn Anita 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 AddressPractice Location Address
Evelyn Anita Jackson, RN
619 Lisbon Ave,
Buffalo, NY 14215-1213

Ph: (716) 544-7792
Evelyn Anita Jackson, RN
400 Forest Ave,
Buffalo, NY 14213-1207

Ph: (716) 816-2444

Reviews and Comments


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