Nyota Roshanda Jackman, is a
Family Medicine based in North Miami, Florida. Nyota Roshanda Jackman is licensed to practice in Florida (license number 11025583) and her current practice location is
14795 Ne 18th Ave Apt 205, North Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 355-8945.
NPI number for Nyota Roshanda Jackman is 1083499867 and her current mailing address is 14795 Ne 18th Ave Apt 205, North Miami, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083499867.
Provider's Profile
Full Name | Nyota Roshanda Jackman |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 14795 Ne 18th Ave Apt 205, North Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083499867
- Provider Enumeration Date: 08/29/2023
- Last Update Date: 08/29/2023
Medical Identifiers
Medical identifiers for Nyota Roshanda Jackman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083499867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 9455228 (Florida) | Secondary |
207Q00000X | Family Medicine | 11025583 (Florida) | 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. Nyota Roshanda Jackman 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 |
Nyota Roshanda Jackman, 14795 Ne 18th Ave Apt 205, North Miami, FL 33181-1126 Ph: (786) 355-8945 | Nyota Roshanda Jackman, 14795 Ne 18th Ave Apt 205, North Miami, FL 33181-1126 Ph: (786) 355-8945 |
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