Marissa Noelle Jackson, PHARMD - Pharmacist in Dpo, AA

Marissa Noelle Jackson, PHARMD is a Pharmacist based in Dpo, Armed Forces Americas. Marissa Noelle Jackson is licensed to practice in Florida (license number 62552) and her current practice location is Moody Airforce Base, Bemiss Road, Dpo, Armed Forces Americas. She can be reached at her office (for appointments etc.) via phone at (229) 257-4211.

NPI number for Marissa Noelle Jackson is 1023757192 and her current mailing address is 3278 Mitchell Blvd, Moody Afb, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023757192.

Contact Information

Marissa Noelle Jackson, PHARMD
Moody Airforce Base, Bemiss Road,
Dpo, AA 31699
(229) 257-4211
Not Available

Healthcare Provider's Profile

Full NameMarissa Noelle Jackson
GenderFemale
SpecialityPharmacist
LocationMoody Airforce Base, Dpo, Armed Forces Americas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023757192
  • Provider Enumeration Date: 05/27/2022
  • Last Update Date: 07/05/2022

Medical Identifiers

Medical identifiers for Marissa Noelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023757192NPI-NPPES
62552MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 62552 (Florida)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. Marissa Noelle 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
Marissa Noelle Jackson, PHARMD
3278 Mitchell Blvd,
Moody Afb, GA 31699-1500

Ph: (229) 257-3221
Marissa Noelle Jackson, PHARMD
Moody Airforce Base, Bemiss Road,
Dpo, AA 31699

Ph: (229) 257-4211

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› Verified 3 days ago


Pharmacist in Dpo, AA


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