Mary E Jackson (NPI# 1124419015, PAC ID# 7113245259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124419015 |
| PAC ID by PECOS | 7113245259 |
| Professional Enrollment ID | I20150421001723 |
| Full Name | Mary E Jackson |
| Organization Legal Name | PRMC HEALTHCARE GROUP, INC. |
| Address |
865 Deshong Dr Paris TX 75460-9313 |
| Phone Number | 9037371111 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406919901 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450196 | PARIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 865 Deshong Dr, Paris, TX 75460-9313 | 9037371111 | PRMC HEALTHCARE GROUP, INC. |
| Organization Legal Name | PRMC HEALTHCARE GROUP, INC. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan R Grant | Urology | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
| Candice G Daughtrey | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 140, Paris, TX 75460-6085 |
| Paula Mckinney | Nurse Practitioner | Prmc Healthcare Group, Inc. | 514 B E Wilson St, Valliant, OK 74764-9115 |
| Shazli P Naseer | Family Practice | Prmc Healthcare Group, Inc. | 2870 Lewis Ln, Paris, TX 75460-9380 |
| Brandilyn K Chadwick | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 170, Paris, TX 75460-0213 |
| Ebele Chira | Endocrinology | Prmc Healthcare Group, Inc. | 2850 Lewis Ln, Paris, TX 75460-9378 |
| Sheila J Adams | Nurse Practitioner | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Leah Rochelle Chiles | Urology | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
| William Dickey | Gastroenterology | Prmc Healthcare Group, Inc. | 2850 Lewis Ln, Paris, TX 75460-9378 |
| John D Durham | Family Medicine | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Street Address |
865 DESHONG DR |
| City | PARIS |
| State | TX |
| Zip | 75460-9313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Ann Higgins | Nurse Practitioner | Fasciamedica Prompta Pllc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Debra Donette George | Nurse Practitioner | Fasciamedica Prompta Pllc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Murray Seth Walker | Certified Registered Nurse Anesthetist (crna) | Prmc Er Group Inc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Peter Wang | Anesthesiology | Prmc Er Group Inc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Edward R Armstrong | Emergency Medicine | Fasciamedica Prompta Pllc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Zaw T Win | Anesthesiology | Prmc Er Group Inc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Sheila J Adams | Nurse Practitioner | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Lav K Singh | Internal Medicine | Fasciamedica Prompta Pllc | 865 Deshong Dr, Paris, TX 75460-9313 |
| Paul R Dwyer | Emergency Medicine | Fasciamedica Prompta Pllc | 865 Deshong Dr, Paris, TX 75460-9313 |
| John D Durham | Family Medicine | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theodore L Mclemore | Pulmonary Disease | 1055 Clarksville St, Suite 110, Paris, TX 75460-0210 | |
| Brandilyn K Chadwick | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 170, Paris, TX 75460-0213 |
| Jordana B Berk | Pathology | Red River Valley Pathology, Pa | 801 Clarksville St C, Paris, TX 75460-0220 |
| Stephen L Walter | Pathology | Red River Valley Pathology, Pa | 801 Clarksville St C, Paris, TX 75460-0220 |
| Donna G Womack | Nurse Practitioner | Womack Preston Family Medical Clinic | 1122 E Austin St, Paris, TX 75460-0411 |
| Robert O Zimmerman | Critical Care (intensivists) | 1110 E Austin St, Paris, TX 75460-0411 | |
| Stephen T Russell | Clinical Social Worker | 1849 Lamar Ave, Suite 120, Paris, TX 75460-1463 | |
| Heather Michelle Whitaker | Nurse Practitioner | Kidney Disease and Dialysis Associates, Pa | 870 Ne Loop, Suite 286, Paris, TX 75460-2134 |
| Wasey A Jabbar | Nephrology | Kidney Disease and Dialysis Associates, Pa | 870 Ne Loop, Suite 286, Paris, TX 75460-2134 |
| Samad A Jabbar | Nephrology | Kidney Disease and Dialysis Associates, Pa | 870 Ne Loop, Suite 286, Paris, TX 75460-2134 |
| Find all physicians in zip 75460 | |||
| City | PARIS |
| Zip Code | 75460 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PARIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary E 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.