Alexis C Holmes, | |
1289 Route 38 Ste 104, Hainesport, NJ 08036-2730 | |
(609) 288-3234 | |
Not Available |
Full Name | Alexis C Holmes |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1289 Route 38 Ste 104, Hainesport, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326778036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01321600 (New Jersey) | Primary |
Entity Name | Legacy Treatment Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730594656 PECOS PAC ID: 0042526899 Enrollment ID: O20150825003854 |
Mailing Address | Practice Location Address |
---|---|
Alexis C Holmes, 150 West Ave Apt 1309, Woodstown, NJ 08098-1149 Ph: (856) 520-0568 | Alexis C Holmes, 1289 Route 38 Ste 104, Hainesport, NJ 08036-2730 Ph: (609) 288-3234 |
Mrs. Nicole Ricker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-845-3988 | |
Emily Pyle, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1261 Route 38 Ste A, Hainesport, NJ 08036 Phone: 856-222-1975 Fax: 856-222-0721 | |
Ms. Nina Kovalev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-845-3988 | |
Gabriella Masci, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-845-3988 | |
April Stone, MSN, APN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1289 Route 38, Hainesport, NJ 08036 Phone: 609-267-5656 | |
Mrs. Cortney Shana Griffin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-702-0014 Fax: 609-702-7225 |