| Tena Maria Jackson, FNP-BC | |
|
1300 St Lucie W Blvd, Clinic #5157, Port St Lucie, FL 34986-2109 | |
| (772) 878-7078 | |
| Not Available |
| Full Name | Tena Maria Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1300 St Lucie W Blvd, Port St Lucie, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114678257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2021117108 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11017532 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Llc | 6709850241 | 556 |
| Entity Name | Minuteclinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Tena Maria Jackson, FNP-BC 452 Se Volkerts Ter, Port St Lucie, FL 34983-3873 Ph: (740) 794-1919 | Tena Maria Jackson, FNP-BC 1300 St Lucie W Blvd, Clinic #5157, Port St Lucie, FL 34986-2109 Ph: (772) 878-7078 |
Ms. Shelly Amanda Mosely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Se Walton Rd, Port St Lucie, FL 34952 Phone: 772-335-0400 | |
Anne-maria Hofmann Douglas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313 | |
Ramona Loutos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Se Dominic Ave, Port St Lucie, FL 34952 Phone: 772-359-1398 Fax: 888-221-8008 | |
Remi Dieujuste, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1226 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-666-1801 | |
Diana Isabel Clavijo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7549 Nw Greenspring St, Port St Lucie, FL 34987 Phone: 954-274-5691 | |
Kellie Collins, A.R.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4516 Sw Yamada Dr, Port St Lucie, FL 34953 Phone: 772-336-2161 | |
Marie Remy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215 |