Jennifer Jackson (NPI# 1366866469, PAC ID# 1254610793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1366866469 |
| PAC ID by PECOS | 1254610793 |
| Professional Enrollment ID | I20161128000995 |
| Full Name | Jennifer Jackson |
| Organization Legal Name | SOUTHLIGHT HEALTHCARE |
| Address |
2101 Garner Rd Suite 113 Raleigh NC 27610-4687 |
| Phone Number | 9198324453 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6901947613 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2101 Garner Rd, Suite 113, Raleigh, NC 27610-4687 | 9198324453 | SOUTHLIGHT HEALTHCARE |
| 2101 Garner Rd, Raleigh, NC 27610-4687 | 9198324453 | SOUTHLIGHT HEALTHCARE |
| Organization Legal Name | SOUTHLIGHT HEALTHCARE |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melony Lee Sanders | Nurse Practitioner | Southlight Healthcare | 3125 Poplarwood Ct, Suite 150, Raleigh, NC 27604-6433 |
| Benjamin W Powell Iv | Physician Assistant | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Camille S Hudimac | Nurse Practitioner | Southlight Healthcare | 3900 Barrett Dr, Suite 100, Raleigh, NC 27609-6614 |
| Ashley Nicole Tucker | Clinical Social Worker | Southlight Healthcare | 3125 Poplarwood Ct, Suite 150, Raleigh, NC 27604-6433 |
| Michael S Lancaster | Psychiatry | Southlight Healthcare | 3125 Poplarwood Ct, Suite 150, Raleigh, NC 27604-6433 |
| James G Groce | Psychiatry | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Skye Fitzgerald Hankins | Clinical Social Worker | Southlight Healthcare | 2101 Garner Rd, Suite 107, Raleigh, NC 27610-4687 |
| Braden K Hazlitt | Clinical Social Worker | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Thomas J Lane | Nurse Practitioner | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Kenneth Depaul Ii | Clinical Social Worker | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Street Address |
2101 GARNER RD SUITE 113 |
| City | RALEIGH |
| State | NC |
| Zip | 27610-4687 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin W Powell Iv | Physician Assistant | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Michael C Watson Jr. | Family Medicine | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
| Shelby M Shirley | Nurse Practitioner | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
| James G Groce | Psychiatry | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Skye Fitzgerald Hankins | Clinical Social Worker | Southlight Healthcare | 2101 Garner Rd, Suite 107, Raleigh, NC 27610-4687 |
| Braden K Hazlitt | Clinical Social Worker | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Thomas J Lane | Nurse Practitioner | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Kenneth Depaul Ii | Clinical Social Worker | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Cauveh Erami | Addiction Medicine | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Sharon A Cullinan | Nurse Practitioner | Southlight Healthcare | 2101 Garner Rd, Raleigh, NC 27610-4687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt J Ehlert | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jennifer Clavier Desilver | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Michelle Stiles Deans | Physician Assistant | Wake Specialty Physicians LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Sharyn R Marcisak | Occupational Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jonathan D Chappell | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Luke William Hudson | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Megan Elizabeth Miller | Nurse Practitioner | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| William Giles | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Michael Robert Ruffolo | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Jeffrey Herbst | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
| Find all physicians in zip 27610 | |||
| City | RALEIGH |
| Zip Code | 27610 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | RALEIGH + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jennifer 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.