Ms Ikishia N Jackson, RN is a
Home Health based in Philadelphia, Pennsylvania. Ms Ikishia N Jackson is licensed to practice in Pennsylvania (license number 652238) and her current practice location is
625 E Girard Ave Apt 1, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(267) 439-0966.
NPI number for Ms Ikishia N Jackson is 1912357682 and her current mailing address is 625 E Girard Ave Apt 1, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912357682.
Provider's Profile
| Full Name | Ms Ikishia N Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Home Health |
|---|
| Location | 625 E Girard Ave Apt 1, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912357682
- Provider Enumeration Date: 06/14/2016
- Last Update Date: 07/27/2021
Medical Identifiers
Medical identifiers for Ms Ikishia N Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912357682 | NPI | - | NPPES |
| 103310350-001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 06650501 (Pennsylvania) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 06650501 (Pennsylvania) | Secondary |
| 251B00000X | Case Management | 06650501 (Pennsylvania) | Secondary |
| 251E00000X | Home Health | 06650501 (Pennsylvania) | Secondary |
| 282J00000X | Religious Nonmedical Health Care Institution | 06650501 (Pennsylvania) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | 06650501 (Pennsylvania) | Secondary |
| 374U00000X | Home Health Aide | 06650501 (Pennsylvania) | Secondary |
| 376J00000X | Homemaker | 06650501 (Pennsylvania) | Secondary |
| 385H00000X | Respite Care | 06650501 (Pennsylvania) | Secondary |
| 251E00000X | Home Health | 652238 (Pennsylvania) | 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. Ms Ikishia N 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 |
|---|
Ms Ikishia N Jackson, RN
625 E Girard Ave Apt 1,
Philadelphia, PA 19125-3400
Ph: (267) 439-0966 | Ms Ikishia N Jackson, RN
625 E Girard Ave Apt 1,
Philadelphia, PA 19125-3400
Ph: (267) 439-0966 |
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