Kristine Baker Jackson (NPI# 1467690487, PAC ID# 7719122670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467690487 |
| PAC ID by PECOS | 7719122670 |
| Professional Enrollment ID | I20130325000146 |
| Full Name | Kristine Baker Jackson |
| Organization Legal Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Address |
100 S Main St Suite 101 Smyrna DE 19977-1478 |
| Phone Number | 3026594545 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739097569 |
| Number of Group Practice Members | 1079 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080001 | CHRISTIANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 S Main St, Suite 101, Smyrna, DE 19977-1478 | 3026594545 | CHRISTIANA CARE HEALTH SERVICES INC |
| Organization Legal Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Physicians | 991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Stumpo | Nurse Practitioner | Christiana Care Health Services Inc | 726 Yorklyn Rd, Suite 100, Hockessin, DE 19707-8745 |
| Vaidehi H Patel | Occupational Therapy | Christiana Care Health Services Inc | 161 Wilmington W Chester Pike, Cchs Concord Therapy, Chadds Ford, PA 19317-9041 |
| Samantha M Hussnatter | Nurse Practitioner | Christiana Care Health Services Inc | 239 Christiana Rd, New Castle, DE 19720-2907 |
| Lauren E Mcmanus | Psychologist, Clinical | Christiana Care Health Services Inc | 774 Christiana Rd, Suite 201, Newark, DE 19713-4221 |
| Elisabeth C Walsh | Family Medicine | Christiana Care Health Services Inc | 3301 Lancaster Pike, Suite 9, Wilmington, DE 19805-1436 |
| Rabia Hasan | Diagnostic Radiology | Christiana Care Health Services Inc | 300 Biddle Ave, Bldg Suite200, Newark, DE 19702-3969 |
| Amy L Devece | Nurse Practitioner | Christiana Care Health Services Inc | 550 S College Ave, Suite 115, Newark, DE 19716-1308 |
| Heather M Milea | Nurse Practitioner | Christiana Care Health Services Inc | 86 Omega Dr Omega Professional Ctr, B86 Cchs Cardiac Services, Newark, DE 19713-2065 |
| Alicia R Edelblute | Physician Assistant | Christiana Care Health Services Inc | 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2074 |
| Shannon M Virtue | Psychologist, Clinical | Christiana Care Health Services Inc | 161 Wilmington-west Chester Pike, Cchs Concord Psychiatry, Chadds Ford, PA 19317-9041 |
| Street Address |
100 S MAIN ST SUITE 101 |
| City | SMYRNA |
| State | DE |
| Zip | 19977-1478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lewis | Physical Therapy | Premier Physical Therapy and Sports Performance Limited Partnership | 100 S Main St, Suite 300, Smyrna, DE 19977-7727 |
| Nathan Mcclain | Physical Therapy | Premier Physical Therapy and Sports Performance Limited Partnership | 100 S Main St, Suite 300, Smyrna, DE 19977-7727 |
| Marcia L Mccoy | Psychologist, Clinical | 100 S Main St, Suite 205, El Dorado, KS 67042-3402 | |
| Kiefer Gooch | Physical Therapy | Premier Physical Therapy and Sports Performance Limited Partnership | 100 S Main St, Suite 300, Smyrna, DE 19977-7727 |
| Marguerite J Abizaid | Clinical Social Worker | 100 S Main St, Unit C, Middleton, MA 01949-2211 | |
| Margaret P Mcaleer | Psychologist, Clinical | 100 S Main St, Suite 206, Sayville, NY 11782-3148 | |
| Gail Mowrer Greathouse | Nurse Practitioner | Richland Memorial Hospital Inc | 100 S Main St, West Salem, IL 62476-1202 |
| Katie Fulton | Physical Therapy | Premier Physical Therapy and Sports Performance Limited Partnership | 100 S Main St, Suite 300, Smyrna, DE 19977-7727 |
| Brenda B King | Nurse Practitioner | Christiana Care Health Services Inc | 100 S Main St, Suite 101, Smyrna, DE 19977-1478 |
| Tiffany Pan | Hand Surgery | First State Orthopaedics Pa | 100 S Main St, Suite 300, Smyrna, DE 19977-1495 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mannpreet Phambri-komal | Family Medicine | Bayhealth Medical Center Inc | 401 N Carter Rd, 201 Bayhealth Family Medicine Smyrna, Smyrna, DE 19977-1213 |
| John J Fink | Family Medicine | Bayhealth Medical Center Inc | 401 N Carter Rd, 201 Bayhealth Family Medicine Smyrna, Smyrna, DE 19977-1213 |
| Mark E Morgan | Family Medicine | Bayhealth Medical Center Inc | 401 N Carter Rd, 201 Bayhealth Family Medicine Smyrna, Smyrna, DE 19977-1213 |
| Michelle L Bretzius | Family Medicine | Bayhealth Medical Center Inc | 401 N Carter Rd, 201 Bayhealth Family Medicine Smyrna, Smyrna, DE 19977-1213 |
| Marsha Ann Nau | Nurse Practitioner | Bayhealth Medical Center Inc | 401 N Carter Rd, 201 Bayhealth Family Medicine Smyrna, Smyrna, DE 19977-1213 |
| Alexys R. Daut | Family Practice | Bayhealth Medical Center, Inc. | 401 N Carter Rd, Smyrna, DE 19977-1213 |
| Anant Ingle | Physical Therapy | Dynamic Therapy Services LLC | 33 Deak Dr, Suite 101, Smyrna, DE 19977-1268 |
| Nadiene Haynes | Family Medicine | Delaware Medical Care Pa | 51 Deak Dr, Smyrna, DE 19977-1268 |
| Steven Banaszak | Physical Therapy | Dynamic Therapy Services LLC | 33 Deak Dr, Suite 101, Smyrna, DE 19977-1268 |
| Andrew S Bishop | Occupational Therapy | Dynamic Therapy Services LLC | 33 Deak Dr, Suite 101, Smyrna, DE 19977-1268 |
| Find all physicians in zip 19977 | |||
| City | SMYRNA |
| Zip Code | 19977 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SMYRNA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristine Baker 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.