Mrs Jessica Berdette Jackson, LPN is a
Licensed Practical Nurse based in Candor, New York. Mrs Jessica Berdette Jackson is licensed to practice in New York (license number 298757) and her current practice location is
376 Owego Rd, Candor, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 372-6591.
NPI number for Mrs Jessica Berdette Jackson is 1205335916 and her current mailing address is 376 Owego Rd, Candor, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205335916.
Provider's Profile
Full Name | Mrs Jessica Berdette Jackson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 376 Owego Rd, Candor, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205335916
- Provider Enumeration Date: 02/08/2018
- Last Update Date: 02/08/2018
Medical Identifiers
Medical identifiers for Mrs Jessica Berdette Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205335916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 298757 (New York) | 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 Jessica Berdette 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 Jessica Berdette Jackson, LPN 376 Owego Rd, Candor, NY 13743-1645 Ph: (607) 372-6591 | Mrs Jessica Berdette Jackson, LPN 376 Owego Rd, Candor, NY 13743-1645 Ph: (607) 372-6591 |
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