Tijuana Jackson, DNP-FNPBC is a
Nurse Practitioner - Family based in Discovery Bay, California. Tijuana Jackson is licensed to practice in California (license number 95030044) and her current practice location is
Po Box 1754, Discovery Bay, California. She can be reached at her office (for appointments etc.) via phone at
(209) 647-8767.
NPI number for Tijuana Jackson is 1407692841 and her current mailing address is Po Box 1754, Discovery Bay, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407692841.
Provider's Profile
| Full Name | Tijuana Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | Po Box 1754, Discovery Bay, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407692841
- Provider Enumeration Date: 07/05/2024
- Last Update Date: 07/05/2024
Medical Identifiers
Medical identifiers for Tijuana Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407692841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 95030044 (California) | 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. Tijuana Jackson 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 Address | Practice Location Address |
|---|
Tijuana Jackson, DNP-FNPBC
Po Box 1754,
Discovery Bay, CA 94505-7754
Ph: (209) 647-8767 | Tijuana Jackson, DNP-FNPBC
Po Box 1754,
Discovery Bay, CA 94505-7754
Ph: (209) 647-8767 |
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