Regina Jackson, LPN is a
Licensed Practical Nurse based in Marianna, Florida. Regina Jackson is licensed to practice in Florida (license number PN1240831) and her current practice location is
4094 Lafayette St, Marianna, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 482-7441.
NPI number for Regina Jackson is 1366122871 and her current mailing address is 4300 Century Rd, Greenwood, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366122871.
Provider's Profile
Full Name | Regina Jackson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 4094 Lafayette St, Marianna, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366122871
- Provider Enumeration Date: 07/19/2023
- Last Update Date: 07/19/2023
Medical Identifiers
Medical identifiers for Regina Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366122871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN1240831 (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. Regina 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 |
Regina Jackson, LPN 4300 Century Rd, Greenwood, FL 32443-1928 Ph: (254) 426-8975 | Regina Jackson, LPN 4094 Lafayette St, Marianna, FL 32446-5648 Ph: (850) 482-7441 |
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