Mrs Earline Jackson, LPN CMLDT LMT is a
Specialist based in Cary, North Carolina. Mrs Earline Jackson is licensed to practice in North Carolina (license number 8517) and her current practice location is
1230 Se Maynard Rd Ste 102, Cary, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 677-0767.
NPI number for Mrs Earline Jackson is 1982743274 and her current mailing address is 1230 Se Maynard Rd Ste 102, Cary, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982743274.
Provider's Profile
Full Name | Mrs Earline Jackson |
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Gender | Female |
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Speciality | Specialist |
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Location | 1230 Se Maynard Rd Ste 102, Cary, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982743274
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 12/14/2018
Medical Identifiers
Medical identifiers for Mrs Earline Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982743274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 26NP01103600 (New Jersey) | Secondary |
164W00000X | Licensed Practical Nurse | 71590 (North Carolina) | Secondary |
174400000X | Specialist | 8517 (North Carolina) | 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. Mrs Earline 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 |
Mrs Earline Jackson, LPN CMLDT LMT 1230 Se Maynard Rd Ste 102, Cary, NC 27511-6945 Ph: (919) 677-0767 | Mrs Earline Jackson, LPN CMLDT LMT 1230 Se Maynard Rd Ste 102, Cary, NC 27511-6945 Ph: (919) 677-0767 |
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