Rebecca Leigh Jackson (NPI# 1154747103, PAC ID# 7315204476) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154747103 |
| PAC ID by PECOS | 7315204476 |
| Professional Enrollment ID | I20171127002785 |
| Full Name | Rebecca Leigh Jackson |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Address |
185 High Service Ave North Providence RI 02904-5114 |
| Phone Number | 4013546050 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 584 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 185 A High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP, INC. |
| 185 High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP, INC. |
| 164 Summit Ave, Providence, RI 02906-2853 | LIFESPAN PHYSICIAN GROUP, INC. |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| John A Day Jr. | Pulmonary Disease | Lifespan Physician Group, Inc. | 19 Friendship, Providence, RI 02903-3913 |
| Terri L Chalker | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Adriana M Hosu | Internal Medicine | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Andrea C Sartori | Clinical Psychologist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Damien Paul Hebert | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 17 Seekonk St, Providence, RI 02906-5125 |
| Jennifer T Dibello | Registered Dietitian Or Nutrition Professional | Lifespan Physician Group, Inc. | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Kristin Beauregard | Nurse Practitioner | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Lynn C Schultz | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Lindsay W Schnetzer | Clinical Psychologist | Lifespan Physician Group, Inc. | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 |
| Street Address |
185 HIGH SERVICE AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip | 02904-5114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl E Herman | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Muhammad Baig | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Gary M Katzman | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| James M Atkinson | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Rachel A Sullivan | Plastic and Reconstructive Surgery | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Sherry A Demacedo | Nurse Practitioner | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Kwame Dapaah Afriyie | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Anne J Goldstein | Nurse Practitioner | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Shenjun Zhu | Internal Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Sylvester Sarfraz | Geriatric Medicine | Lifespan Physician Group Inc | 185 High Service Ave, North Providence, RI 02904-5114 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORTH PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rebecca Leigh 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.