Ms Anitra L Jackson, NP | |
310 Smith Ave N, Saint Paul, MN 55102-2393 | |
(952) 843-4333 | |
(952) 843-4301 |
Full Name | Ms Anitra L Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 25 Years |
Location | 310 Smith Ave N, Saint Paul, Minnesota |
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 |
---|---|---|---|
1497718811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | R1308387 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabilitation Physicians Of Georgia, P.c. | 4082696109 | 16 |
Entity Name | Rehabilitation Physicians Of Georgia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144365750 PECOS PAC ID: 4082696109 Enrollment ID: O20040603000031 |
Mailing Address | Practice Location Address |
---|---|
Ms Anitra L Jackson, NP 310 Smith Ave N, Saint Paul, MN 55102-2383 Ph: (952) 843-4333 | Ms Anitra L Jackson, NP 310 Smith Ave N, Saint Paul, MN 55102-2393 Ph: (952) 843-4333 |
Anne Coleman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1953 University Ave W, Saint Paul, MN 55104 Phone: 651-659-0208 Fax: 651-659-0161 | |
Mrs. Channa Roxanne Pittman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1115 Greenbrier St, Saint Paul, MN 55106 Phone: 651-354-4228 Fax: 651-797-4413 | |
Samantha Perkins, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1757 Juliet Ave, Saint Paul, MN 55105 Phone: 651-888-0773 | |
Patra Ann Borden, MSN, APRN, NNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6000 | |
Gretchen Barsch, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 934 Randolph Ave, Saint Paul, MN 55102 Phone: 612-961-6668 | |
Laura Spong, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 Cedar St, Saint Paul, MN 55101 Phone: 651-266-1343 | |
Ms. Lisa Kay Boben, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 225 Smith Ave N # 100, Saint Paul, MN 55102 Phone: 651-292-0616 |