Gloria L Jackson (NPI# 1013035294, PAC ID# 7012012206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013035294 |
| PAC ID by PECOS | 7012012206 |
| Professional Enrollment ID | I20200106001271 |
| Full Name | Gloria L Jackson |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Address |
435 Hurffville Cross Keys Rd Turnersville NJ 08012-2499 |
| Phone Number | 8565134124 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860616877 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Medical Ctr Dr, Suite 200, Sewell, NJ 08080-2358 | 8565577900 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 | 8565134124 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Derose | Infectious Disease | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 |
| Jodie Black | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 205 E Laurel Rd, Stratford, NJ 08084-1301 |
| William Ross Green | Radiation Oncology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 |
| Ashley Ferris | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 400 Medical Ctr Dr, Suite F, Sewell, NJ 08080-2362 |
| Nina Lane | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 18 E Laurel Rd, Stratford, NJ 08084-1327 |
| Deborah A Ubele | Family Medicine | Kennedy Medical Group Practice, P.C. | 1300 Liberty Pl, Sicklerville, NJ 08081-5710 |
| Rosemary A Decicco | Physician Assistant | Kennedy Medical Group Practice, P.C. | 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2223 |
| Duane R Monteith | Thoracic Surgery | Kennedy Medical Group Practice, P.C. | 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 |
| Jennifer E Hummel | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 165 Princeton Ave, West Deptford, NJ 08096-3123 |
| Lisa C Dimedio | Internal Medicine | Kennedy Medical Group Practice, P.C. | 1 Regulus Dr A, Turnersville, NJ 08012-2427 |
| Street Address |
435 HURFFVILLE CROSS KEYS RD |
| City | TURNERSVILLE |
| State | NJ |
| Zip | 08012-2499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahbubur R Siddique | Internal Medicine | Advocare LLC | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 |
| Bradley Foster Bender | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Erin M Caruso | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Marc Thomas Mongeau | Pulmonary Disease | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Kevin T Dwyer | Emergency Medicine | Emergency Physician Associates of South Jersey PC | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 |
| Hasan Ehsan | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Maher Al-safadi | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Nicole Thompson | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Ian Jacobi | Internal Medicine | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Dawn M Moleins | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Cameron | Registered Dietitian Or Nutrition Professional | 5070 Rte, 42 Top Floor, Turnersville, NJ 08012 | |
| Tamara M Fisicaro | Internal Medicine | Advocare LLC | 527 S Black Horse Pke, Blackwood, NJ 08012 |
| Jo Ann M Cannon | Psychologist, Clinical | 4551 Route 42 4, Turnersville, NJ 08012 | |
| Theodore G Koerner | Family Medicine | 4911 Black Horse Pike, Turnersville, NJ 08012-0877 | |
| Sheri L Dempsey | Physical Therapy | 501 Route 168, Blackwood, NJ 08012-1458 | |
| Michael J Miranda | Chiropractic | 501 Route 168, Turnersville, NJ 08012-1458 | |
| Heather M Sterling | Chiropractic | 180 Greentree Rd, Turnersville, NJ 08012-1568 | |
| John P Galvin | Optometry | Galvin Eyes, LLC | 137 Greentree Rd, Turnersville, NJ 08012-1569 |
| Karen E Galvin | Optometry | Galvin Eyes, LLC | 137 Greentree Rd, Turnersville, NJ 08012-1569 |
| Joseph A Midili | Chiropractic | 133 Ganttown Rd, Turnersville, NJ 08012-1676 | |
| Find all physicians in zip 08012 | |||
| City | TURNERSVILLE |
| Zip Code | 08012 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TURNERSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gloria L 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.