Kerri S Jackson (NPI# 1477883809, PAC ID# 3375687411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477883809 |
| PAC ID by PECOS | 3375687411 |
| Professional Enrollment ID | I20100212000546 |
| Full Name | Kerri S Jackson |
| Organization Legal Name | SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC |
| Address |
308 W Main St Saltville VA 24370-3112 |
| Phone Number | 2764964433 |
| Gender | F |
| Medical School | PACIFIC MEDICAL COLLEGE |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880502707 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490060 | CLINCH VALLEY MEDICAL CENTER |
| 490117 | CARILION TAZEWELL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 308 W Main St, Saltville, VA 24370-3112 | 2764964433 | SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC |
| 386 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2799799899 | SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC |
| Organization Legal Name | SOUTHWEST VIRGINIA COMMUNITY HEALTH SYSTEMS INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie C Olubowale | Family Medicine | Southwest Virginia Community Health Systems Inc | 2195 Euclid Ave, Bristol, VA 24201-3655 |
| Tara R Prater | Clinical Social Worker | Southwest Virginia Community Health Systems Inc | 386 Ben Bolt Ave, Tazewell, VA 24651-5386 |
| Kristin O Bresowar | Family Medicine | Southwest Virginia Community Health Systems Inc | 13168 Meadowview Sq, Meadowview, VA 24361-3328 |
| Pamela M Somervell | Family Medicine | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Marcy S Rosenbaum | Clinical Social Worker | Southwest Virginia Community Health Systems Inc | 319 5th Ave, Fl 1, Saltville, VA 24370-3418 |
| Vicente Ortiz | General Practice | Southwest Virginia Community Health Systems Inc | 13168 Meadowview Sq, Meadowview, VA 24361-3328 |
| Katie Newsome-deel | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Stephanie R Branham | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Melissa Doane-williams | Clinical Social Worker | Southwest Virginia Community Health Systems Inc | 13168 Meadowview Sq, Meadowview, VA 24361-3328 |
| Carol Ann R Wilson | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 13168 Meadowview Sq, Meadowview, VA 24361-3328 |
| Street Address |
308 W MAIN ST |
| City | SALTVILLE |
| State | VA |
| Zip | 24370-3112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela M Somervell | Family Medicine | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Katie Newsome-deel | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Stephanie R Branham | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Melissa Shirlrae Franklin | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Brandon Blevins | Optometry | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Ramamohan V Turlapati | Cardiovascular Disease (cardiology) | 308 W Main St, Hilbert, WI 54129-9282 | |
| Carol Looney | Nurse Practitioner | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Melody L Counts | Family Medicine | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-3112 |
| Kerry F Moore | Family Practice | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-0729 |
| Donna Rigolizzo | Psychiatry | Southwest Virginia Community Health Systems Inc | 308 W Main St, Saltville, VA 24370-0729 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcy S Rosenbaum | Clinical Social Worker | Southwest Virginia Community Health Systems Inc | 319 5th Ave, Fl 1, Saltville, VA 24370-3418 |
| City | SALTVILLE |
| Zip Code | 24370 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALTVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kerri S 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.