Stephanie D Jackson, APRN | |
1901 S 4th St Ste 26, Effingham, IL 62401-4188 | |
(217) 660-4600 | |
(217) 334-0027 |
Full Name | Stephanie D Jackson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1901 S 4th St Ste 26, Effingham, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073258380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.025152 (Illinois) | Primary |
Entity Name | Jackson Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790490191 PECOS PAC ID: 5799159323 Enrollment ID: O20230322003103 |
Mailing Address | Practice Location Address |
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Stephanie D Jackson, APRN 1901 S 4th St Ste 26, Effingham, IL 62401-4188 Ph: (217) 660-4600 | Stephanie D Jackson, APRN 1901 S 4th St Ste 26, Effingham, IL 62401-4188 Ph: (217) 660-4600 |
Dorothy Behrns, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 N Merchant St, Effingham, IL 62401 Phone: 217-342-7000 | |
Emily S. Boyajian, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 W. Temple Ave., Building B - Suite 2500, Effingham, IL 62401 Phone: 217-347-2255 Fax: 217-342-6910 | |
Bethany Renee Stone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 N Maple St, Effingham, IL 62401 Phone: 217-347-1211 | |
Kaylee Marie Beals, DNP, APRN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Medical Park Dr, Effingham, IL 62401 Phone: 217-342-2066 Fax: 217-342-2074 | |
Mrs. Susan Lynn Lamonica, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 W Temple Ave Ste 1500, Effingham, IL 62401 Phone: 217-347-0458 | |
Colleen R Nuxoll, APN,WHNP,RDMS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 912 N Henrietta St, Effingham, IL 62401 Phone: 217-342-3337 Fax: 217-342-3338 |