Stefanie M Jackson (NPI# 1346204427, PAC ID# 3577567551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1346204427 |
PAC ID by PECOS | 3577567551 |
Professional Enrollment ID | I20060906000015 |
Full Name | Stefanie M Jackson |
Organization Legal Name | SOUTHERN INTERNAL MEDICINE PLLC |
Address |
404 Nw Hall of Fame Dr Lake City FL 32055-4833 |
Phone Number | 3867192540 |
Gender | F |
Credential | NP |
Graduation Year | 1995 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7618052580 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 3867192540 | SOUTHERN INTERNAL MEDICINE PLLC |
Organization Legal Name | SOUTHERN INTERNAL MEDICINE PLLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elaina M Williamson | Nurse Practitioner | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Bryce C Catarelli | Nurse Practitioner | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Jordan E Cunningham | Nurse Practitioner | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Guy S Strauss | Internal Medicine | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Street Address |
404 NW HALL OF FAME DR |
City | LAKE CITY |
State | FL |
Zip | 32055-4833 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elaina M Williamson | Nurse Practitioner | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Bryce C Catarelli | Nurse Practitioner | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Jordan E Cunningham | Nurse Practitioner | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Guy S Strauss | Internal Medicine | Southern Internal Medicine Pllc | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Jennifer L Pompa | Certified Registered Nurse Anesthetist (crna) | Nature Coast Anesthesia Providers Pa | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Minesh Aron Patel | Internal Medicine | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | |
Richard G Valenzuela | Orthopedic Surgery | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 |
Name | Specialty | Organization | Address |
---|---|---|---|
James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
Find all physicians in zip 32055 |
City | LAKE CITY |
Zip Code | 32055 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LAKE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stefanie M 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.