Amy C Jackson (NPI# 1679623672, PAC ID# 9739197674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679623672 |
| PAC ID by PECOS | 9739197674 |
| Professional Enrollment ID | I20060404000102 |
| Full Name | Amy C Jackson |
| Organization Legal Name | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
| Address |
704 Iowa Ave Dunlap IA 51529-1336 |
| Phone Number | 7126432298 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678482130 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161309 | ALEGENT CREIGHTON HEALTH COMMUNITY MEMORIAL HOSPITAL |
| 280060 | CHI HEALTH BERGAN MERCY |
| 160028 | CHI HEALTH MERCY COUNCIL BLUFFS |
| 161369 | CRAWFORD COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 704 Iowa Ave, Dunlap, IA 51529-1336 | 7126432298 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
| 518 Lincoln Way, Alegent Creighton Clinic Woodbine, Woodbine, IA 51579-1238 | 7126472566 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
| Organization Legal Name | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IOWA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa K Blum | Physician Assistant | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 809 Elm St, Missouri Valley, IA 51555-1140 |
| Melissa K Klutts | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
| Jennifer Jean Hall | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
| Enrique E Cohen | Family Practice | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 518 Lincoln Way, Alegent Creighton Clinic Woodbine, Woodbine, IA 51579-1238 |
| Sharon Louise Pitt | Nurse Practitioner | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Missouri Valley, IA 51555-1102 |
| Ahmad Alchommali | Emergency Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Health Cmh Practitioner Services, Missouri Valley, IA 51555-1102 |
| Carrie L Grady | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
| Christopher J Jankovich | Physician Assistant | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
| Daniel H Richter | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 631 N 8th St, Alegent Creighton Clinic Missouri Valley, Missouri Valley, IA 51555-1102 |
| Nathaniel V Alvis | Family Medicine | Alegent Health Community Memorial Hospital of Missouri Valley Iowa | 118 S 1st Ave, Alegent Health Community Memorial, Logan, IA 51546-1306 |
| Street Address |
704 IOWA AVE |
| City | DUNLAP |
| State | IA |
| Zip | 51529-1336 |
| City | DUNLAP |
| Zip Code | 51529 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DUNLAP + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amy C 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.