Shannon Jackson (NPI# 1124526280, PAC ID# 3375890411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124526280 |
| PAC ID by PECOS | 3375890411 |
| Professional Enrollment ID | I20180720001980 |
| Full Name | Shannon Jackson |
| Organization Legal Name | HOSPICE OF OHIO, LLC |
| Address |
677 Alpha Dr Suite H Highland Heights OH 44143-2165 |
| Phone Number | 4403862500 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941228746 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 677 Alpha Dr, Suite H, Highland Heights, OH 44143-2165 | 4403862500 | HOSPICE OF OHIO, LLC |
| Organization Legal Name | HOSPICE OF OHIO, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Femia | Certified Clinical Nurse Specialist (cns) | Hospice of Ohio, LLC | 677 Alpha Dr, Suite H, Highland Heights, OH 44143-2165 |
| Kimberly A Foreman | Clinical Social Worker | Hospice of Ohio, LLC | 677 Alpha Dr, Suite H, Highland Heights, OH 44143-2165 |
| Street Address |
677 ALPHA DR SUITE H |
| City | HIGHLAND HEIGHTS |
| State | OH |
| Zip | 44143-2165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M Femia | Certified Clinical Nurse Specialist (cns) | Hospice of Ohio, LLC | 677 Alpha Dr, Suite H, Highland Heights, OH 44143-2165 |
| Kimberly A Foreman | Clinical Social Worker | Hospice of Ohio, LLC | 677 Alpha Dr, Suite H, Highland Heights, OH 44143-2165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter G Kontos | Psychiatry | Family Behavioral Health Care LLC | 6559 C Wilson Rd, Mayfield Village, OH 44143 |
| Creighton Gregory Heyl | Orthopedic Surgery | 26971 Chardon Rd, Richmond Hts, OH 44143-1111 | |
| David M Weiner | Internal Medicine | Community Intensivists | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 |
| Brittany Floyd | Nurse Practitioner | Uh Regional Hospitals | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 |
| Carrie A Schwemley | Nurse Practitioner | Uh Regional Hospitals | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 |
| Jacqueline R Hofmeister | Nurse Practitioner | Uh Regional Hospitals | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 |
| Kim S Fitzgerald | Urology | University Primary Care Practices Inc | 27100 Chardon Rd, Suite 100, Richmond Hts, OH 44143-1116 |
| Dane A Coyne | Anesthesiology | University Primary Care Practices Inc | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 |
| Theresa A Clemens | Physician Assistant | Uh Regional Hospitals | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 |
| Christopher L Tangen | Family Medicine | University Primary Care Practices Inc | 27100 Chardon Rd, Suite 120, Richmond Hts, OH 44143-1116 |
| Find all physicians in zip 44143 | |||
| City | HIGHLAND HEIGHTS |
| Zip Code | 44143 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HIGHLAND HEIGHTS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon 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.