Jennifer W Jackson, RN is a
Registered Nurse - Administrator based in Washington, Georgia. Jennifer W Jackson is licensed to practice in Georgia (license number RN141785) and her current practice location is
204 Gordon St, Washington, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 678-2622.
NPI number for Jennifer W Jackson is 1639251069 and her current mailing address is 204 Gordon St, Washington, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639251069.
Provider's Profile
Full Name | Jennifer W Jackson |
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Gender | Female |
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Speciality | Registered Nurse - Administrator |
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Location | 204 Gordon St, Washington, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639251069
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jennifer W Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639251069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA2000X | Registered Nurse - Administrator | RN141785 (Georgia) | 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. Jennifer W 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 |
Jennifer W Jackson, RN 204 Gordon St, Washington, GA 30673-1604 Ph: (706) 678-2622 | Jennifer W Jackson, RN 204 Gordon St, Washington, GA 30673-1604 Ph: (706) 678-2622 |
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