| Jc Health Group Pllc | |
|
3611 Boulevard Colonial Heights VA 23834-1344 | |
| (571) 523-5479 | |
| Not Available |
| Full Name | Jc Health Group Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3611 Boulevard, Colonial Heights, Virginia |
| Authorized Official Name and Position | Jessy A Nwuba (OWNER) |
| Authorized Official Contact | 5715235479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Health Group Pllc 12013 Almer Ln Chester VA 23836-3081 Ph: () - | Jc Health Group Pllc 3611 Boulevard Colonial Heights VA 23834-1344 Ph: (571) 523-5479 |
| NPI Number | 1679271357 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 4385009653 |
|---|---|
| Medicare Enrollment ID | O20230421000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679271357 | NPI | - | NPPES |
| Provider Name | Jessy Nwuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003543984 PECOS PAC ID: 2062804685 Enrollment ID: I20220822003269 |
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