Samantha Jackson, APRN | |
7972 N Oberon Ter, Citrus Springs, FL 34434-6664 | |
(352) 857-7418 | |
Not Available |
Full Name | Samantha Jackson |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 7972 N Oberon Ter, Citrus Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366170102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11021020 (Florida) | Primary |
Entity Name | Project Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437180239 PECOS PAC ID: 0446153399 Enrollment ID: O20040601001397 |
Mailing Address | Practice Location Address |
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Samantha Jackson, APRN 7972 N Oberon Ter, Citrus Springs, FL 34434-6664 Ph: (352) 857-7418 | Samantha Jackson, APRN 7972 N Oberon Ter, Citrus Springs, FL 34434-6664 Ph: (352) 857-7418 |
Erica Alfonsa Ongco Kardenas, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 | |
Mrs. Sheila Malto Villacastin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 Fax: 352-489-5786 | |
Mr. Alexander Tan Villacastin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 Fax: 352-489-5786 | |
Maria Juvy Villacastin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9531 N Citrus Springs Blvd, Citrus Springs, FL 34434 Phone: 352-489-2486 | |
Janice Seymour Ashworth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10489 N Florida Ave, Citrus Springs, FL 34434 Phone: 352-489-2486 | |
Cathleen M. Kelley-weidemann, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10334 N Citrus Springs Blvd, Citrus Springs, FL 34434 Phone: 352-527-0707 Fax: 352-489-7512 |