| Laura Jackson, CRNP | |
|
7700 Old Branch Ave Ste B201, Clinton, MD 20735-1605 | |
| (301) 289-7722 | |
| Not Available |
| Full Name | Laura Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7700 Old Branch Ave Ste B201, Clinton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629658570 | NPI | - | NPPES |
| Entity Name | Pingeton Consulting Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972154276 PECOS PAC ID: 2668805367 Enrollment ID: O20191211001511 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
| Entity Name | Chronic Disease Management Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Jackson, CRNP 1619 Angelwing Dr, Silver Spring, MD 20904-1553 Ph: (240) 888-9212 | Laura Jackson, CRNP 7700 Old Branch Ave Ste B201, Clinton, MD 20735-1605 Ph: (301) 289-7722 |
Margarate Melima Nesoa I, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4104 Ethan Thomas Dr, Clinton, MD 20735 Phone: 301-728-0662 Fax: 301-434-4450 | |
Mrs. Yata Haja Bazzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9409 Stream Valley Ln, Clinton, MD 20735 Phone: 240-475-4161 Fax: 240-318-2001 | |
Miss Ivanna Plymouth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4656 | |
Dawn Alicia Williams, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10908 Sir Paul Pl, Clinton, MD 20735 Phone: 240-464-8230 | |
Taoheed Kasumu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3202 Kirkpatrick Ct, Clinton, MD 20735 Phone: 213-238-8040 | |
Hana Teka Kelele, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7700 Old Branch Ave Ste E101, Clinton, MD 20735 Phone: 240-244-1679 | |
Aldene Doyle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9135 Piscataway Rd Ste 420, Clinton, MD 20735 Phone: 301-868-2555 |