Regina Jackson (NPI# 1679076764, PAC ID# 2769726793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679076764 |
| PAC ID by PECOS | 2769726793 |
| Professional Enrollment ID | I20181203001655 |
| Full Name | Regina Jackson |
| Organization Legal Name | TUNICA COUNTY HEALTHCARE AUTHORITY |
| Address |
11273 Us Hwy 61 N Tunica MS 38664-9705 |
| Phone Number | 66236332241612 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608898499 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11273 Us Hwy 61 N, Tunica, MS 38664-9705 | 66236332241612 | TUNICA COUNTY HEALTHCARE AUTHORITY |
| Organization Legal Name | TUNICA COUNTY HEALTHCARE AUTHORITY |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristal Hillie | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Daniella S Ellis | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Timothy J Callaghan | Family Medicine | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Sheronda Smith | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Rachel E Litterer | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Esther L Dunlap | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Street Address |
11273 US HWY 61 N |
| City | TUNICA |
| State | MS |
| Zip | 38664-9705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristal Hillie | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Daniella S Ellis | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Timothy J Callaghan | Family Medicine | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Sheronda Smith | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Rachel E Litterer | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| Esther L Dunlap | Nurse Practitioner | Tunica County Healthcare Authority | 11273 Us Hwy 61 N, Tunica, MS 38664-9705 |
| City | TUNICA |
| Zip Code | 38664 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TUNICA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Regina 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.