Joyce J Jackson (NPI# 1932377702, PAC ID# 1052480282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932377702 |
| PAC ID by PECOS | 1052480282 |
| Professional Enrollment ID | I20110525000621 |
| Full Name | Joyce J Jackson |
| Organization Legal Name | CENTER FOR VEIN RESTORATION MD LLC |
| Address |
1500 N Beauregard St Suite 210 Alexandria VA 22311-1715 |
| Phone Number | 8558308346 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729022736 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1500 N Beauregard St, Suite 210, Alexandria, VA 22311-1715 | 8558308346 | CENTER FOR VEIN RESTORATION MD LLC |
| 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 | 8558308346 | CENTER FOR VEIN RESTORATION MD LLC |
| Organization Legal Name | CENTER FOR VEIN RESTORATION MD LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard B Nguyen | Emergency Medicine | Center for Vein Restoration Md LLC | 2000 N Beauregard St, Suite 310, Alexandria, VA 22311-1749 |
| Shekeeb Sufian | Vascular Surgery | Center for Vein Restoration Md LLC | 12107 Old Line Ctr, Waldorf, MD 20602-2552 |
| Alfred G Jump | Emergency Medicine | Center for Vein Restoration Md LLC | 7300 Hanover Dr, Suite 103, Greenbelt, MD 20770-2250 |
| Eddie A Fernandez | Emergency Medicine | Center for Vein Restoration Md LLC | 1160 Varnum St Ne, Suite 104, Washington, DC 20017-2106 |
| Duc T Le | Emergency Medicine | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
| Keith C Nichols | Emergency Medicine | Center for Vein Restoration Md LLC | 2000 N Beauregard St, Suite 310, Alexandria, VA 22311-1749 |
| Dov Frankel | Emergency Medicine | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
| Anuj A Shah | Emergency Medicine | Center for Vein Restoration Md LLC | 831 University Blvd E, Suite 25, Silver Spring, MD 20903-2920 |
| Imani C Chisley-pittmon | Nurse Practitioner | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
| Geeta S Nath | Occupational Therapy | Center for Vein Restoration Md LLC | 1600 Crain Hwy S, Suite 408, Glen Burnie, MD 21061-6437 |
| Street Address |
1500 N BEAUREGARD ST SUITE 210 |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22311-1715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte Kastl | Neurology | Inova Health Care Services | 1500 N Beauregard St, Suite 300, Alexandria, VA 22311-1715 |
| Andrew B Molchon | Psychiatry | Skyline Psychiatric Associates Inc | 1500 N Beauregard St, Suite 240, Alexandria, VA 22311-1715 |
| Susan Miller | Clinical Social Worker | 1500 N Beauregard St, Suite 240, Alexandria, VA 22311-1715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noelle Ekonomou | Physical Therapy | One To One Physical Therapy | 5236 Dawes Ave, Alexandria, VA 22311-1404 |
| Alice Joseph | Internal Medicine | 5244 Dawes Ave, Alexandria, VA 22311-1404 | |
| Robert D Herscowitz | Pulmonary Disease | Pulmonary Associates Ltd | 5216 Dawes Ave, Alexandria, VA 22311-1404 |
| Emil Z Ghali | Internal Medicine | 5254 Dawes Ave, Alexandria, VA 22311-1404 | |
| Tesfaye Tetemke | Internal Medicine | 5276 Dawes Ave, Alexandria, VA 22311-1404 | |
| Melissa O Smith | Podiatry | 5242 Dawes Ave, Alexandria, VA 22311-1404 | |
| Guido Rojas | General Practice | 5248 Dawes Ave, Alexandria, VA 22311-1404 | |
| Kori Reigel | Physical Therapy | One To One Physical Therapy | 5236 Dawes Ave, Alexandria, VA 22311-1404 |
| Heather Carr | Physical Therapy | One To One Physical Therapy | 5236 Dawes Ave, Alexandria, VA 22311-1404 |
| Juliette Wohlrab | Pulmonary Disease | Pulmonary Associates Ltd | 5216 Dawes Ave, Alexandria, VA 22311-1404 |
| Find all physicians in zip 22311 | |||
| City | ALEXANDRIA |
| Zip Code | 22311 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALEXANDRIA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.