Joann Jackson, CRNP | |
127 Anderson St Ste 101, Pittsburgh, PA 15212-5803 | |
(412) 322-4151 | |
Not Available |
Full Name | Joann Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 127 Anderson St Ste 101, Pittsburgh, Pennsylvania |
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 |
---|---|---|---|
1891218152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP017804 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Outreach Wellness Center | 6507186772 | 33 |
Entity Name | Central Outreach Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063804136 PECOS PAC ID: 6507186772 Enrollment ID: O20150529000928 |
Mailing Address | Practice Location Address |
---|---|
Joann Jackson, CRNP 381 44th St, Pittsburgh, PA 15201-1711 Ph: (412) 370-6032 | Joann Jackson, CRNP 127 Anderson St Ste 101, Pittsburgh, PA 15212-5803 Ph: (412) 322-4151 |
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