Debra E Jackson (NPI# 1376676841, PAC ID# 1951383736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1376676841 |
PAC ID by PECOS | 1951383736 |
Professional Enrollment ID | I20040604000464 |
Full Name | Debra E Jackson |
Organization Legal Name | KIRTI BHARGAVA-PATEL, MD, PA |
Address |
2100 16th St N St Petersburg FL 33704-3924 |
Phone Number | 7278959200 |
Gender | F |
Credential | NP |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7911803945 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100075 | ST JOSEPHS HOSPITAL |
100067 | ST ANTHONYS HOSPITAL |
100180 | ST PETERSBURG GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2100 16th St N, St Petersburg, FL 33704-3924 | 7278959200 | KIRTI BHARGAVA-PATEL, MD, PA |
Organization Legal Name | KIRTI BHARGAVA-PATEL, MD, PA |
Physicians | 1 |
Street Address |
2100 16TH ST N |
City | ST PETERSBURG |
State | FL |
Zip | 33704-3924 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kirti Bhargava Patel | Internal Medicine | 2100 16th St N, St Petersburg, FL 33704-3924 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kenneth R Reinhart | Chiropractic | 3190 Mlk St N, St. Petersburg, FL 33704 | |
Robert Chuong | Maxillofacial Surgery | 2140 16th N St, St Petersburg, FL 33704 | |
Scott A Rubin | Chiropractic | 1700 Dr Martin Luther King Jr N, Suite A, St Petersburg, FL 33704 | |
Kristin M Kidgell | Chiropractic | 3202 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | |
Robert C Bock | Chiropractic | 3202 Dr Mlk Jr St N, Saint Petersburg, FL 33704-1202 | |
Andrea Srygley Felch | Psychologist, Clinical | 3206 Dr Martin Luther King Jr N St, Saint Petersburg, FL 33704-1202 | |
John L Wheeler | Nurse Practitioner | Primacare Health Centers Inc | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 |
Daniel Andrew Geary | Optometry | 3301 4th St N, Saint Petersburg, FL 33704-1305 | |
John Giardina | Optometry | 3301 4th N St, Saint Petersburg, FL 33704-1305 | |
Christine A Manzella | Optometry | Gulf Coast Optometry Pa | 3520 4th St N, St Petersburg, FL 33704-1310 |
Find all physicians in zip 33704 |
City | ST PETERSBURG |
Zip Code | 33704 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ST PETERSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Debra E 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.