Gloria L Jackson, CRNP | |
900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | |
(856) 557-7900 | |
Not Available |
Full Name | Gloria L Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 900 Medical Center Dr Ste 200, Sewell, New Jersey |
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 |
---|---|---|---|
1013035294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP007231 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | 26NJ00058800 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Stratford Hospital | Stratford, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kennedy Medical Group Practice, P.c. | 2860616877 | 310 |
Entity Name | Kennedy Medical Group Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
---|---|
Gloria L Jackson, CRNP 3400 Civic Center Blvd, Pcam 4 West, Philadelphia, PA 19104 Ph: (215) 615-5858 | Gloria L Jackson, CRNP 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 Ph: (856) 557-7900 |
Rosalin Ivanay Thompson-cordoba, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 239 Hurffville Crosskeys Rd Ste 2, Sewell, NJ 08080 Phone: 856-262-8300 | |
Ms. Alaina Marie Guiliana, FNP-BC RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Egg Harbor Rd, Sewell, NJ 08080 Phone: 186-638-9272 | |
Mr. Michael Joseph Kinney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080 Phone: 856-582-0033 Fax: 856-582-2305 | |
Parminder Bath Sohal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Medical Center Dr Ste 200, Sewell, NJ 08080 Phone: 856-557-7900 | |
Dawn Topper, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Kings Way E Ste B1, Sewell, NJ 08080 Phone: 856-536-1515 Fax: 856-412-5324 | |
Mrs. Lisa Elizabeth Pope, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Egg Harbor Rd, Sewell, NJ 08080 Phone: 856-582-2500 |