Retunda Jackson- Phiffer, - Nurse Practitioner in Granite City, IL

Retunda Jackson- Phiffer, is a Nurse Practitioner - Psychiatric/mental Health based in Granite City, Illinois. Retunda Jackson- Phiffer is licensed to practice in Illinois (license number 209030994) and her current practice location is 2166 Madison Ave, Granite City, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 452-3301.

NPI number for Retunda Jackson- Phiffer is 1285469148 and her current mailing address is 201 Todd Ln, Belleville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285469148.

Contact Information

Retunda Jackson- Phiffer,
2166 Madison Ave,
Granite City, IL 62040-4700
(618) 452-3301
Not Available

Map and Direction




Provider's Profile

Full NameRetunda Jackson- Phiffer
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2166 Madison Ave, Granite City, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285469148
  • Provider Enumeration Date: 09/02/2024
  • Last Update Date: 11/06/2024

Medical Identifiers

Medical identifiers for Retunda Jackson- Phiffer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285469148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209030994 (Illinois)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. Retunda Jackson- Phiffer 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 AddressPractice Location Address
Retunda Jackson- Phiffer,
201 Todd Ln,
Belleville, IL 62221-5751

Ph: () -
Retunda Jackson- Phiffer,
2166 Madison Ave,
Granite City, IL 62040-4700

Ph: (618) 452-3301

Reviews and Comments


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Phone: 618-512-1919    Fax: 618-512-1920
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