Mrs Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN in Ft Riley, KS - Registered Nurse

Mrs Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN is a Registered Nurse - Case Management physician based in Ft Riley, Kansas. Mrs Jacquelyn Denise Jackson is licensed to practice in Arkansas (license number R078719) and her current practice location is 650 Huebner Rd, Ft Riley, Kansas. She can be reached at her office (for appointments etc.) via phone at (785) 239-7727.

NPI number for Mrs Jacquelyn Denise Jackson is 1053080622 and her current mailing address is 247 Ridge Oak Dr, Red Oak, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053080622.

Contact Information

	Mrs Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN
	650 Huebner Rd, Ft Riley, KS 66442-4030
	(785) 239-7727
	Not Available

Physician's Profile

Full Name	Mrs Jacquelyn Denise Jackson
Gender	Female
Speciality	Registered Nurse - Case Management
Location	650 Huebner Rd, Ft Riley, Kansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1053080622
Provider Enumeration Date: 09/08/2021
Last Update Date: 08/08/2023

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053080622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	R078719 (Arkansas)	Secondary
163WC0400X	Registered Nurse - Case Management	R078719 (Arkansas)	Primary
163W00000X	Registered Nurse	R078719 (Arkansas)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacquelyn Denise Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN 247 Ridge Oak Dr, Red Oak, TX 75154-5031 Ph: (469) 350-3557	Mrs Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN 650 Huebner Rd, Ft Riley, KS 66442-4030 Ph: (785) 239-7727

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Mrs Jacquelyn Denise Jackson, RN, BSN, MSN-PH, AN - Registered Nurse in Ft Riley, KS