Amy J Jackson (NPI# 1972866085, PAC ID# 6103081740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972866085 |
| PAC ID by PECOS | 6103081740 |
| Professional Enrollment ID | I20120703000577 |
| Full Name | Amy J Jackson |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Address |
2701 W N St Muncie IN 47303-3415 |
| Phone Number | 7652816920 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537072640 |
| Number of Group Practice Members | 258 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2401 W University Ave, Muncie, IN 47303-3428 | 7657473111 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| 2701 W N St, Muncie, IN 47303-3415 | 7652816920 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber D Petty | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 2525 W University Ave, Muncie, IN 47303-3421 |
| Kyra Dawn Kempher | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 400 Pilgrim Blvd, Hartford City, IN 47348-1382 |
| Cassandra Louise Alexander | Clinical Social Worker | Indiana University Health Ball Memorial Physicians Inc | 1758 W 100, Portland, IN 47371-8204 |
| Aisha N Davis | Hospitalist | Indiana University Health Ball Memorial Physicians Inc | 2401 W University Ave, Muncie, IN 47303-3428 |
| Joseph Francis Vormohr | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 430 W Votaw St, Portland, IN 47371-1302 |
| Vallikantha Nellaiappan | Endocrinology | Indiana University Health Ball Memorial Physicians Inc | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 |
| Christina Andrew | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 5501 W Bethel Ave, Muncie, IN 47304-8513 |
| Maria E Faget | Obstetrics/gynecology | Indiana University Health Ball Memorial Physicians Inc | 210 N Tillotson Ave, Muncie, IN 47304-3988 |
| Claudia B Sursa | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 349 W 1st St, Albany, IN 47320-1705 |
| Pamela L Wright | Nurse Practitioner | Indiana University Health Ball Memorial Physicians Inc | 800 S Tillotson Ave, Muncie, IN 47304-4529 |
| Street Address |
2701 W N ST |
| City | MUNCIE |
| State | IN |
| Zip | 47303-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Dickey | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 2701 W N St, Muncie, IN 47303-3415 |
| Rosette N Kfoury | Infectious Disease | Indiana University Health Ball Memorial Physicians Inc | 2701 W N St, Muncie, IN 47303-3415 |
| Joseph A Koss | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 2701 W N St, Muncie, IN 47303-3415 |
| Charles R Routh | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 2701 W N St, Muncie, IN 47303-3415 |
| Dwayne C Adrian | Internal Medicine | Indiana University Health Ball Memorial Physicians Inc | 2701 W N St, Muncie, IN 47303-3415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela D Lykins | Psychologist, Clinical | 4221 N Broadway Ave, Lykins Counseling Clinic, Muncie, IN 47303-1015 | |
| Lisa A Brock | Nurse Practitioner | 4301 N Walnut St, Muncie, IN 47303-1190 | |
| Willard J Frederick | Clinical Social Worker | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Sharon J Ezop | Psychologist, Clinical | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Jamie Lynne Bergan | Clinical Social Worker | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| E Caroline Curlin | Psychologist, Clinical | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Bryce E Taylor | Clinical Psychologist | Center for Psychological Development PC | 2205 N Wheeling Ave, Muncie, IN 47303-1602 |
| Matthew L Harkin | Optometry | 2304 N Wheeling Ave, Muncie, IN 47303-1619 | |
| Jennifer A Boget | Nurse Practitioner | Medexpress Urgent Care PC Indiana | 1313 W Mcgalliard Rd, Medexpress Urgent Care Muncie, Muncie, IN 47303-1774 |
| James E Holmes | Emergency Medicine | Medexpress Urgent Care PC Indiana | 1313 W Mcgalliard Rd, Medexpress Urgent Care Muncie, Muncie, IN 47303-1774 |
| Find all physicians in zip 47303 | |||
| City | MUNCIE |
| Zip Code | 47303 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUNCIE + NURSE PRACTITIONER |
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| 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.