Ellanikole Jackson has Nurse Practitioner as her primary medical specialty. Their primary office is: 11268 Hwy 57 in Counce, Tennessee.
They're a part of the: Family Clinic At The Lake Pllc medical group which has around 2 members. You can call their office at 731-689-4357 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2018 (around 6 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.
Ellanikole Jackson
Family Clinic At The Lake Pllc
11268 Hwy 57
Counce, Tennessee 38326
731-689-4357
Phone: 731-689-4357
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2018
The Primary Medical Specialty for Ellanikole Jackson is listed as: Nurse Practitioner
Approximate Years of Experience: 6
PAC (PECOS ID)#: 9335484914
NPI #: 1932676194
NPI Created On: 10/25/2018
NPI Last Updated Listed as: 10/25/2018
Primary Taxonomy Code: 363LF0000X
License Number:
24869
Listed Gender: Female
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 802002005
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: RESPIRATORY
Name of Drug #1: TRELEGY ELLIPTA
Open Associated Drug #1: 0173-0887-14
Payments Total: $12
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Record ID:: 811616699
Being Disputed:: No
Product Related: No
11268 Hwy 57
Counce, TN
Family Clinic At The Lake Pllc
11268 Hwy 57
Counce Tn 38326-3802
Family Clinic At The Lake Pllc
Nurse Practitioner
11268 Hwy 57
Counce Tn 38326-3802
Family Clinic At The Lake Pllc
Nurse Practitioner
View all 2 members of Family Clinic At The Lake Pllc medical group