Ms Tara Leigh Jackson, FNP-BC | |
123 James River & Kanawha Turnpike, Ansted, WV 25812 | |
(304) 228-6809 | |
(304) 658-4690 |
Full Name | Ms Tara Leigh Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 123 James River & Kanawha Turnpike, Ansted, West Virginia |
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 |
---|---|---|---|
1790028082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 67047 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Charleston Area Medical Center | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hcma Consultants Inc | 1456256239 | 4 |
Entity Name | Hcma Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932190865 PECOS PAC ID: 1456256239 Enrollment ID: O20031204000691 |
Entity Name | Geps Physician Group Of West Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457729212 PECOS PAC ID: 6800105446 Enrollment ID: O20151021001008 |
Entity Name | Hospice Of Southern West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871686717 PECOS PAC ID: 4981600228 Enrollment ID: O20161031000369 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180205001943 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara Leigh Jackson, FNP-BC 123 James River & Kanawha Turnpike, Ansted, WV 25812 Ph: (304) 228-6809 | Ms Tara Leigh Jackson, FNP-BC 123 James River & Kanawha Turnpike, Ansted, WV 25812 Ph: (304) 228-6809 |
Patricia Lewis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box A, Ansted, WV 25812 Phone: 304-658-6005 Fax: 314-472-1362 | |
Ms. Shawna Lynn Adkins-cox, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 James River & Kanawha Turnpike, Ansted, WV 25812 Phone: 304-222-4756 Fax: 304-658-4690 |