Gillian C Jackman, | |
12112 Ledbury Commons Dr, Gibsonton, FL 33534-3027 | |
(727) 386-0640 | |
Not Available |
Full Name | Gillian C Jackman |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 12112 Ledbury Commons Dr, Gibsonton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346957107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11022643 (Florida) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
Mailing Address | Practice Location Address |
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Gillian C Jackman, 12112 Ledbury Commons Dr, Gibsonton, FL 33534-3027 Ph: (727) 386-0640 | Gillian C Jackman, 12112 Ledbury Commons Dr, Gibsonton, FL 33534-3027 Ph: (727) 386-0640 |
Lucnie Civil, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9416 Cypress Harbor Dr, Gibsonton, FL 33534 Phone: 407-754-7897 | |
Ms. Suhvanna Victoria Lamar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6933 Crown Lake Dr, Gibsonton, FL 33534 Phone: 727-470-1063 | |
Danielle Winston, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12122 Fern Haven Ave, Gibsonton, FL 33534 Phone: 414-336-4167 | |
Kellaney Claytor Santiago, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6921 Waterbrook Ct, Gibsonton, FL 33534 Phone: 813-525-5463 | |
Ms. Daphne Louise Weeks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12220 Ledbury Commons Dr, Gibsonton, FL 33534 Phone: 888-888-8888 | |
Brittany Fillmore, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11535 Tangle Creek Blvd, Gibsonton, FL 33534 Phone: 813-727-8267 |