Michelle Ebong Jackson-tucker, APRN | |
3525 Fm 2484, Salado, TX 76571-6169 | |
(254) 947-7500 | |
(254) 947-7521 |
Full Name | Michelle Ebong Jackson-tucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3525 Fm 2484, Salado, Texas |
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 |
---|---|---|---|
1053872036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP141208 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Curana Health Medical Group Llc | 9133304603 | 92 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Entity Name | Curana Health Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20110427000111 |
Entity Name | Ch Specialty Services Tx Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306225701 PECOS PAC ID: 6507173291 Enrollment ID: O20150912000083 |
Mailing Address | Practice Location Address |
---|---|
Michelle Ebong Jackson-tucker, APRN Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Michelle Ebong Jackson-tucker, APRN 3525 Fm 2484, Salado, TX 76571-6169 Ph: (254) 947-7500 |
Lori A Talbott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Fm 2484, Salado, TX 76571 Phone: 254-947-7500 | |
Marcie Marie Vasquez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1313 N Stagecoach Rd, Salado, TX 76571 Phone: 254-346-4029 | |
Katrina Channele Locklin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1348 Kyleigh Dr, Salado, TX 76571 Phone: 254-220-1391 | |
Sheila Ann Tauferner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1607 Indian Trail, Salado, TX 76571 Phone: 817-681-4736 | |
Mrs. Coreen Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3525 Fm 2484, Salado, TX 76571 Phone: 254-947-7500 Fax: 254-947-7521 |