| Ms Nerissa Ann Jackson, PA-C | |
|
4103 Medical Center Dr, Fayetteville, NY 13066-6600 | |
| (315) 637-7800 | |
| (315) 637-7808 |
| Full Name | Ms Nerissa Ann Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4103 Medical Center Dr, Fayetteville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144367749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA030340 (District Of Columbia) | Secondary |
| 363A00000X | Physician Assistant | 013802 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nerissa Ann Jackson, PA-C 254 Fayette Blvd, Syracuse, NY 13224-1214 Ph: (315) 849-6664 | Ms Nerissa Ann Jackson, PA-C 4103 Medical Center Dr, Fayetteville, NY 13066-6600 Ph: (315) 637-7800 |
Mrs. Jessica Faye Bouchard, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-663-0100 Fax: 315-663-0052 | |
Mrs. Jill M. Johnstone, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4115 Medical Center Dr, Suite 115, Fayetteville, NY 13066 Phone: 315-329-7600 Fax: 315-329-7608 | |
Sheryl L Khan, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0514 | |
Stephen J Jackowski, RPA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7800 Fax: 315-637-7808 | |
Priya Prakash Patel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5100 Highbridge St Apt 46e, Fayetteville, NY 13066 Phone: 207-245-5944 | |
Lauren Krisak Gilkey, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Suite 101 D, Fayetteville, NY 13066 Phone: 315-637-7878 Fax: 315-744-1905 |