Tanya Lynn Jackson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Gleason, Tennessee. Her current practice location is
105 N Cedar St, Gleason, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 648-5634.
Tanya Lynn Jackson is licensed to practice in Tennessee (license number 15540) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205132206.
Provider's Profile
Full Name | Tanya Lynn Jackson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 105 N Cedar St, Gleason, Tennessee |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tanya Lynn Jackson attended and graduated from in
NPI Data:
- NPI Number: 1205132206
- Provider Enumeration Date: 02/08/2011
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tanya Lynn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205132206 | NPI | - | NPPES |
3380640 | Other | TN | MEDICARE GROUP |
3380640 | Other | TN | MEDICAID GROUP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 15540 (Tennessee) | 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. Tanya Lynn Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tanya Lynn Jackson, FNP-BC 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 Ph: (731) 352-7907 | Tanya Lynn Jackson, FNP-BC 105 N Cedar St, Gleason, TN 38229-7264 Ph: (731) 648-5634 |
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