Elizabeth R Jackson (NPI# 1316143282, PAC ID# 1557255718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316143282 |
| PAC ID by PECOS | 1557255718 |
| Professional Enrollment ID | I20081013000398 |
| Full Name | Elizabeth R Jackson |
| Organization Legal Name | URGENT MEDICAL CLINIC INC |
| Address |
176 Goodman Rd W Prime Urgent Medical Clinic Southaven MS 38671-9405 |
| Phone Number | 6625361020 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739288937 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 176 Goodman Rd W, Prime Urgent Medical Clinic, Southaven, MS 38671-9405 | 6625361020 | URGENT MEDICAL CLINIC INC |
| Organization Legal Name | URGENT MEDICAL CLINIC INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naseem D Ali | Nurse Practitioner | Urgent Medical Clinic Inc | 3680 S Houston Levee Rd, Collierville, TN 38017-9147 |
| Gregory Anderson | Internal Medicine | Urgent Medical Clinic Inc | 6515 Poplar Ave, Memphis, TN 38119-4878 |
| Sabra F Drake | Internal Medicine | Urgent Medical Clinic Inc | 176 Goodman Rd W, Prime Urgent Medical Clinic, Southaven, MS 38671-9405 |
| Donald R Mcgukin | Family Practice | Urgent Medical Clinic Inc | 176 Goodman Rd W, Prime Urgent Medical Clinic, Southaven, MS 38671-9405 |
| Street Address |
176 GOODMAN RD W PRIME URGENT MEDICAL CLINIC |
| City | SOUTHAVEN |
| State | MS |
| Zip | 38671-9405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabra F Drake | Internal Medicine | Urgent Medical Clinic Inc | 176 Goodman Rd W, Prime Urgent Medical Clinic, Southaven, MS 38671-9405 |
| Donald R Mcgukin | Family Practice | Urgent Medical Clinic Inc | 176 Goodman Rd W, Prime Urgent Medical Clinic, Southaven, MS 38671-9405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Williamson Sandridge | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Ginger L Stewart | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Amy M Perkins | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Amy Malai Mclennan | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Ciao Newman | Internal Medicine | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
| Edward A Steward | General Practice | 1669 Stateline Rd W, Suite A, Southaven, MS 38671-1223 | |
| Mary A Hall | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Asma Ghani | Registered Dietitian Or Nutrition Professional | Delta Gastroenterology P.C. | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Cassandra L Anderson | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Paul T. Martin | Chiropractic | 9040 Millbranch Rd, Southaven, MS 38671-1420 | |
| Find all physicians in zip 38671 | |||
| City | SOUTHAVEN |
| Zip Code | 38671 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTHAVEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth R Jackson.
| 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.