Evae Jackson, LPN in Cockeysville, MD - Licensed Practical Nurse

Evae Jackson, LPN is a Licensed Practical Nurse based in Cockeysville, Maryland. Evae Jackson is licensed to practice in New York (license number 338537) and her current practice location is 7 Willow Tree Garth Apt D, Cockeysville, Maryland. She can be reached at her office (for appointments etc.) via phone at (732) 900-6493.

NPI number for Evae Jackson is 1801494034 and her current mailing address is 7 Willow Tree Garth Apt D, Cockeysville, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801494034.

Contact Information

	Evae Jackson, LPN
	7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276
	(732) 900-6493
	Not Available

Provider's Profile

Full Name	Evae Jackson
Gender	Female
Speciality	Licensed Practical Nurse
Location	7 Willow Tree Garth Apt D, Cockeysville, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1801494034
Provider Enumeration Date: 10/09/2020
Last Update Date: 10/09/2020

Medical Identifiers

Medical identifiers for Evae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801494034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	338537 (New York)	Primary

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. Evae 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
Evae Jackson, LPN 7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276 Ph: (732) 900-6493	Evae Jackson, LPN 7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276 Ph: (732) 900-6493

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Evae Jackson, LPN - Licensed Practical Nurse in Cockeysville, MD