Mrs Tiffany R Jackson, NP | |
1108 W State St, Suite 3, Hastings, MI 49058-9711 | |
(269) 945-0922 | |
(269) 945-4511 |
Full Name | Mrs Tiffany R Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1108 W State St, Hastings, Michigan |
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 |
---|---|---|---|
1093066086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4704240163 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great Lakes Caring | Jackson, MI | Home health agency |
Spectrum Health Pennock | Hastings, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thornapple Valley Family Physicians Pc | 5698823250 | 3 |
Entity Name | Thornapple Valley Family Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528268513 PECOS PAC ID: 5698823250 Enrollment ID: O20090508000356 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tiffany R Jackson, NP 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Mrs Tiffany R Jackson, NP 1108 W State St, Suite 3, Hastings, MI 49058-9711 Ph: (269) 945-0922 |
Kimberly Porter, CNM, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Green St Ste 301, Hastings, MI 49058 Phone: 269-945-8080 | |
Alia Anthony, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 W State St, Suite 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Laura Katherine Bevins, MP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Taylor Rose Kroeze, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 W State St Ste 3, Hastings, MI 49058 Phone: 269-945-0922 | |
Grant Keith Heide, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Hastings, MI 49058 Phone: 269-945-1212 | |
Cindy M Bigler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 W Green St, Suite G001, Hastings, MI 49058 Phone: 269-948-7820 |