Elizabeth Detweiler Jackson

APRN | Nurse Practitioner | 9+ years Exp

Accepts Medicare Nurse Practitioner in Norwich, Connecticut.
Elizabeth Detweiler Jackson is a Norwich, Connecticut based nurse practitioner with 9 years of experience in . She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Elizabeth Detweiler Jackson is 009070 for Family in Connecticut. Her current practice location is 42 Town St Ste 300, Norwich. Patients can reach her at 860-886-0567. Elizabeth Detweiler Jackson is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1902420466.
Elizabeth Detweiler Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.

Complete Profile:
Elizabeth Detweiler Jackson speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Elizabeth Detweiler Jackson
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: APRN
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:42 Town St Ste 300, Norwich,
Connecticut, 06360-2339
Phone:860-886-0567
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6709204993
Enrollment ID: I20200921002228
NPI Number: 1902420466
NPI Enumeration Date: 01 Jun, 2020
NPI Last Update On: 03 Aug, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Detweiler Jackson are as mentioned below.
License NumberSpecializationStateStatus
009070Family ConnecticutPrimary
132311Registered Nurse ConnecticutSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(070024)Norwich, CTAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Elizabeth Detweiler Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Hartford Healthcare Medical Group Inc (1153573902)201
Other Medical Identifiers:
Other legacy medical identifiers associated with Elizabeth Detweiler Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
009070OtherConnecticutCT LIC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Elizabeth Detweiler Jackson
110 Cooktown Rd,
Preston, Connecticut
Zip: 06365-8801
Phone Number: 860-917-3523
Patients can reach Elizabeth Detweiler Jackson at 42 Town St Ste 300, Norwich, Connecticut or can call to book an appointment on 860-886-0567.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.