Maliza Jackson, RN is a
Registered Nurse - Case Management based in Erlanger, Kentucky. Maliza Jackson is licensed to practice in Kentucky (license number 1136570) and her current practice location is
3192 Dixie Hwy, Erlanger, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 609-1011.
NPI number for Maliza Jackson is 1275373862 and her current mailing address is 96 Geiger Ave, Bellevue, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275373862.
Provider's Profile
Full Name | Maliza Jackson |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 3192 Dixie Hwy, Erlanger, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275373862
- Provider Enumeration Date: 05/30/2024
- Last Update Date: 05/30/2024
Medical Identifiers
Medical identifiers for Maliza Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275373862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 1136570 (Kentucky) | Secondary |
163WC0400X | Registered Nurse - Case Management | 1136570 (Kentucky) | 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. Maliza 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 |
Maliza Jackson, RN 96 Geiger Ave, Bellevue, KY 41073-1622 Ph: () - | Maliza Jackson, RN 3192 Dixie Hwy, Erlanger, KY 41018-1850 Ph: (859) 609-1011 |
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