Kristen Jackson, FNP-C | |
1024 N Magnolia St, Elmwood, IL 61529-9602 | |
(309) 742-6334 | |
(309) 649-6880 |
Full Name | Kristen Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1024 N Magnolia St, Elmwood, Illinois |
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 |
---|---|---|---|
1316465347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041412141 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209016808 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Graham Hospital Association | Canton, IL | Hospital |
Saint Francis Medical Center | Peoria, IL | Hospital |
St Mary Medical Center | Galesburg, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Graham Hospital Association | 2769375021 | 95 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
---|---|
Kristen Jackson, FNP-C 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Kristen Jackson, FNP-C 1024 N Magnolia St, Elmwood, IL 61529-9602 Ph: (309) 742-6334 |
Mrs. Pamela J Garner, MS FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 W Main Street, Elmwood, IL 61529 Phone: 309-742-2921 Fax: 309-742-8411 | |
Nathalie Snider, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1024 N Magnolia St, Elmwood, IL 61529 Phone: 309-742-6334 | |
Mrs. Cristy M Lane, MS FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W Main St, Elmwood, IL 61529 Phone: 309-742-2921 Fax: 309-742-8411 |