Kimberly Hatch Jackson, ARNP | |
140 Sw Virginia Cir, Mayo, FL 32066-4064 | |
(386) 294-1321 | |
(386) 294-3876 |
Full Name | Kimberly Hatch Jackson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 140 Sw Virginia Cir, Mayo, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215171798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP 9265719 (Florida) | Primary |
Entity Name | Doctors Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285709451 PECOS PAC ID: 5092614503 Enrollment ID: O20040114000009 |
Mailing Address | Practice Location Address |
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Kimberly Hatch Jackson, ARNP 140 Sw Virginia Cir, Po Box 1806, Mayo, FL 32066-4064 Ph: (386) 294-1321 | Kimberly Hatch Jackson, ARNP 140 Sw Virginia Cir, Mayo, FL 32066-4064 Ph: (386) 294-1321 |
Claire Kalandek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8784 W Us 27, Mayo, FL 32066 Phone: 386-294-4500 | |
Marla Driver, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Sw Virginia Cir, Mayo, FL 32066 Phone: 386-294-2475 Fax: 386-294-2478 | |
Debbi Roessler Rye, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 W Main St, Mayo, FL 32066 Phone: 386-294-1226 Fax: 386-294-4218 | |
Hillary Byrd, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1113 Ne County Road 410, Mayo, FL 32066 Phone: 386-294-1224 |