Mrs Cecilia Jackson, - Licensed Practical Nurse in Boulder, CO

Mrs Cecilia Jackson, is a Licensed Practical Nurse based in Boulder, Colorado. Mrs Cecilia Jackson is licensed to practice in Colorado (license number 44627) and her current practice location is 580 Mohawk Dr, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at (303) 554-5000.

NPI number for Mrs Cecilia Jackson is 1922284173 and her current mailing address is 300 Stonehaven Street Cir, Dacono, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922284173.

Contact Information

Mrs Cecilia Jackson,
580 Mohawk Dr,
Boulder, CO 80303-3712
(303) 554-5000
Not Available



Provider's Profile

Full NameMrs Cecilia Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location580 Mohawk Dr, Boulder, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922284173
  • Provider Enumeration Date: 01/17/2008
  • Last Update Date: 01/17/2008

Medical Identifiers

Medical identifiers for Mrs Cecilia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922284173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 44627 (Colorado)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. Mrs Cecilia 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 AddressPractice Location Address
Mrs Cecilia Jackson,
300 Stonehaven Street Cir,
Dacono, CO 80514-5005

Ph: (303) 833-4272
Mrs Cecilia Jackson,
580 Mohawk Dr,
Boulder, CO 80303-3712

Ph: (303) 554-5000

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› Verified 6 days ago


Licensed Practical Nurse Nurses in Boulder, CO

Mrs. Tammy Faith Portugal, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-614-1493    
Mrs. Dana Prosser, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 720-564-0959    
Marjon Indra Pekelharing, LPN, PH.D.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1333 Iris Ave, Boulder, CO 80304
Phone: 303-443-8500    
Jessica Wallace,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-554-5185    
Maureen Soucy, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1031 Portland Pl, #6, Boulder, CO 80304
Phone: 908-494-6334    
Gwendilyn Suzanne Love,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4500 19th St Lot 398, Boulder, CO 80304
Phone: 720-329-3494    
Kristina Marie Layton,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-614-1492    Fax: 303-614-1505

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