Cynthia M Jackson (NPI# 1306875828, PAC ID# 2264417344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306875828 |
| PAC ID by PECOS | 2264417344 |
| Professional Enrollment ID | I20040622001447 |
| Full Name | Cynthia M Jackson |
| Organization Legal Name | HANDS OF HOPE HEALTH CARE CENTER |
| Address |
3408 A Beltline Park Dr N Mobile AL 36617-1539 |
| Phone Number | 2512876146 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032386404 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010087 | UNIVERSITY OF SOUTH ALABAMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3408 A Beltline Park Dr N, Mobile, AL 36617-1539 | 2512876146 | HANDS OF HOPE HEALTH CARE CENTER |
| Organization Legal Name | HANDS OF HOPE HEALTH CARE CENTER |
| Physicians | 1 |
| Street Address |
3408 A BELTLINE PARK DR N |
| City | MOBILE |
| State | AL |
| Zip | 36617-1539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie Krebsbach | Nurse Practitioner | University of South Alabama | 2451 Fillingim St, Mobile, AL 36617-2238 |
| John A Self | Certified Registered Nurse Anesthetist (crna) | Usa Health Anesthesia Billing Services LLC | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Amod Amritphale | Interventional Cardiology | University of South Alabama | 2451 Fillingim St, Bldg C, Mobile, AL 36617-2238 |
| Emily F Mcgowin | Nurse Practitioner | University of South Alabama | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Amy M Schulingkamp | Nurse Practitioner | University of South Alabama | 2451 Fillingim St, Bldg C, Mobile, AL 36617-2238 |
| Patrick P Patten | Interventional Radiology | University of South Alabama | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Felicia Quick | Nurse Practitioner | University of South Alabama | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Kevin L Everett | Anesthesiology | Usa Health Anesthesia Billing Services LLC | 2451 Fillingim St, Mobile, AL 36617-2238 |
| John N Desverreaux Iii | Anesthesiology | Usa Health Anesthesia Billing Services LLC | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Asadullah B Mirza | Internal Medicine | University of South Alabama | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Find all physicians in zip 36617 | |||
| City | MOBILE |
| Zip Code | 36617 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOBILE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Cynthia M 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.