Rosemary B Jackson (NPI# 1790992576, PAC ID# 7618135518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1790992576 |
| PAC ID by PECOS | 7618135518 |
| Professional Enrollment ID | I20120223000541 |
| Full Name | Rosemary B Jackson |
| Organization Legal Name | PROVIDENT INC |
| Address |
2650 Olive St Saint Louis MO 63103-1424 |
| Phone Number | 3143716500 |
| Gender | F |
| Graduation Year | 1981 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0345217279 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2650 Olive St, Saint Louis, MO 63103-1424 | 3143716500 | PROVIDENT INC |
| Organization Legal Name | PROVIDENT INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna L Massie | Clinical Social Worker | Provident Inc | 11222 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6963 |
| Linda Diggs | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Elizabeth Ann Reinberg | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Margaret A Schicker | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Kristin B Bulin | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Ann M Ward | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Street Address |
2650 OLIVE ST |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63103-1424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Diggs | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Elizabeth Ann Reinberg | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Margaret A Schicker | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Kristin B Bulin | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Ann M Ward | Clinical Social Worker | Provident Inc | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Franssens | Nurse Practitioner | Aids Resource Center of Wisconsin, Inc. | 2653 Locust St, Saint Louis, MO 63103-1411 |
| William C Summers | Internal Medicine | Aids Resource Center of Wisconsin, Inc. | 2653 Locust St, Saint Louis, MO 63103-1411 |
| Ernie Paul Barrette | Internal Medicine | Aids Resource Center of Wisconsin, Inc. | 2653 Locust St, Saint Louis, MO 63103-1411 |
| Elizabeth Walden | Nurse Practitioner | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Anne C Walentik | Internal Medicine | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Disha A Miyani | Nurse Practitioner | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Katie C Skosky | Nurse Practitioner | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Fred R Buckhold | Hospitalist | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Erin K Samuels | Psychiatry | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Pamela A Abbott | Physical Therapy | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Find all physicians in zip 63103 | |||
| City | SAINT LOUIS |
| Zip Code | 63103 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SAINT LOUIS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Rosemary B 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.