TAMMY J JACKSON (LICENSED PSYCHOLOGIS) – Psychologist, NPI 1235294018
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2023-04-20. Reason: License revocation, suspension, or surrender.
Psychologist
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Provider Addresses for TAMMY J JACKSON (LICENSED PSYCHOLOGIS)
1272, Windsor Drive, Lee's Summit, Jackson County, Missouri, 64086, United States
LEES SUMMIT, MO 640865594
Phone: (816) 246-4465
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 64086)
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