| Amanda Nicole Jessen, | |
|
3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | |
| (205) 977-1949 | |
| Not Available |
| Full Name | Amanda Nicole Jessen |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 3104 Blue Lake Dr Ste 110, Vestavia, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932956679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-144029 (Alabama) | Primary |
| Entity Name | Anesthesiologists Associated Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20040202000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nicole Jessen, 5007 Natalie Way, Trussville, AL 35173-1197 Ph: () - | Amanda Nicole Jessen, 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1949 |
Ms. Carolyn A Sexton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 505 Lake Colony Dr, Vestavia, AL 35242 Phone: 205-914-4234 | |
Mrs. Sarah E Kilgore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2613 Vestavia Forest Ter, Vestavia, AL 35216 Phone: 205-568-1525 | |
Allison Lee Beckwith, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr, Vestavia, AL 35243 Phone: 205-977-1949 | |
Reese Elizabeth Gwin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4230 Paxton Pl, Vestavia, AL 35242 Phone: 205-968-7391 | |
Owen David Hargett, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243 Phone: 205-726-2401 | |
Grace Victoria Sandoval, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2871 Acton Rd Ste 101, Vestavia, AL 35243 Phone: 205-612-5009 | |
Jon Austin Moore, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2116 Vestridge Ct, Vestavia, AL 35216 Phone: 205-215-2193 |