Mrs Shanda Jackson, FNP-C | |
6569 Highway 84, Ferriday, LA 71334-4573 | |
(985) 892-7070 | |
(855) 821-4499 |
Full Name | Mrs Shanda Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 6569 Highway 84, Ferriday, Louisiana |
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 |
---|---|---|---|
1578846598 | NPI | - | NPPES |
09503346 | Medicaid | MS | |
2319248 | Medicaid | LA | |
F0711469 | Other | MS | CERTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP06672 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | R855819 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverland Medical Center | Ferriday, LA | Hospital |
Merit Health Natchez | Natchez, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wound Care Associates Llc | 0840314548 | 55 |
Wound Care Associates Llc | 0840314548 | 55 |
Entity Name | Wound Care Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20100902000094 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shanda Jackson, FNP-C Po Box 1089, Hammond, LA 70404-1089 Ph: (985) 892-7070 | Mrs Shanda Jackson, FNP-C 6569 Highway 84, Ferriday, LA 71334-4573 Ph: (985) 892-7070 |
Samantha Elizabeth Strange, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Serio Blvd, Ferriday, LA 71334 Phone: 318-757-6969 Fax: 318-757-6966 | |
Tonette Harris-haynes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Serio Blvd, Ferriday, LA 71334 Phone: 318-757-6969 Fax: 318-757-6966 | |
Jessica Nashae Beard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Serio Blvd, Ferriday, LA 71334 Phone: 318-757-6969 Fax: 318-757-6966 | |
Ashanta Rene Jones, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Serio Blvd, Ferriday, LA 71334 Phone: 318-757-0210 Fax: 318-757-9916 | |
Mrs. Heather Robertson Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Serio Blvd., Ferriday, LA 71334 Phone: 318-757-0210 Fax: 318-757-9916 | |
Ruby Iva Ward, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Serio Blvd, Ferriday, LA 71334 Phone: 318-389-5727 Fax: 318-389-9943 |