Marissa Noelle Jackson, PHARMD is a
Pharmacist based in Dpo, Armed Forces Americas. Marissa Noelle Jackson is licensed to practice in Florida (license number 62552) and her current practice location is
Moody Airforce Base, Bemiss Road, Dpo, Armed Forces Americas. She can be reached at her office (for appointments etc.) via phone at
(229) 257-4211.
NPI number for Marissa Noelle Jackson is 1023757192 and her current mailing address is 3278 Mitchell Blvd, Moody Afb, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023757192.
Healthcare Provider's Profile
Full Name | Marissa Noelle Jackson |
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Gender | Female |
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Speciality | Pharmacist |
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Location | Moody Airforce Base, Dpo, Armed Forces Americas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023757192
- Provider Enumeration Date: 05/27/2022
- Last Update Date: 07/05/2022
Medical Identifiers
Medical identifiers for Marissa Noelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023757192 | NPI | - | NPPES |
62552 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 62552 (Florida) | 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. Marissa Noelle 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 |
Marissa Noelle Jackson, PHARMD 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 Ph: (229) 257-3221 | Marissa Noelle Jackson, PHARMD Moody Airforce Base, Bemiss Road, Dpo, AA 31699 Ph: (229) 257-4211 |
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