Mrs Edith J Jackson, NP-C | |
1414 Main Ave, Clifton, NJ 07011-2157 | |
(973) 253-6000 | |
Not Available |
Full Name | Mrs Edith J Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1414 Main Ave, Clifton, New Jersey |
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 |
---|---|---|---|
1346588183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 26NJ00415600 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Hospital And Medical Center | Paterson, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine And Geriatrics Practice, Inc | 5597767426 | 4 |
Entity Name | Internal Medicine And Geriatrics Practice, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598803264 PECOS PAC ID: 5597767426 Enrollment ID: O20070206000577 |
Mailing Address | Practice Location Address |
---|---|
Mrs Edith J Jackson, NP-C 19 Cider Mill Rd, Hawthorne, NJ 07506-3001 Ph: (973) 253-6000 | Mrs Edith J Jackson, NP-C 1414 Main Ave, Clifton, NJ 07011-2157 Ph: (973) 253-6000 |
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