Irma Jackson, | |
1633 Hospital St, Greenville, MS 38703-3222 | |
(662) 332-8177 | |
(662) 378-3783 |
Full Name | Irma Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1633 Hospital St, Greenville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992845226 | NPI | - | NPPES |
00123993 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | R511587 (Mississippi) | Primary |
Entity Name | Ms State Department Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
Mailing Address | Practice Location Address |
---|---|
Irma Jackson, 1633 Hospital St, Greenville, MS 38703-3222 Ph: (662) 332-8177 | Irma Jackson, 1633 Hospital St, Greenville, MS 38703-3222 Ph: (662) 332-8177 |
Mrs. Chasity Ann Sheppeard, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Highway 1 S Ste A, Greenville, MS 38701 Phone: 623-351-1103 Fax: 662-335-8746 | |
James A Ray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 | |
Ms. Marilyn D Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 E Starling St Ste A, Greenville, MS 38701 Phone: 662-378-8868 Fax: 662-378-8462 | |
Mrs. Tammy White Burton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1462 Highway 1 S, Greenville, MS 38701 Phone: 662-702-5121 | |
Barbara P Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-344-9100 Fax: 662-344-9120 | |
Marshalvia Bryant, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1221 E Union St, Greenville, MS 38703 Phone: 731-394-1145 | |
Kelli Bearden, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 |