Andrea Constance Jasdanwala, FNP-C | |
1112 S Main St, Salem, MO 65560 | |
(573) 739-9806 | |
Not Available |
Full Name | Andrea Constance Jasdanwala |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1112 S Main St, Salem, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619405602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2016035602 (Missouri) | Primary |
363LF0000X | Nurse Practitioner - Family | F09161103 (Missouri) | Secondary |
Entity Name | Family Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Entity Name | Ozark Rural Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851026439 PECOS PAC ID: 1052797602 Enrollment ID: O20221005000237 |
Entity Name | Ozark Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942746912 PECOS PAC ID: 3375919905 Enrollment ID: O20221021001707 |
Mailing Address | Practice Location Address |
---|---|
Andrea Constance Jasdanwala, FNP-C 1112 S Main St, Salem, MO 65560-2408 Ph: (573) 739-9806 | Andrea Constance Jasdanwala, FNP-C 1112 S Main St, Salem, MO 65560 Ph: (573) 739-9806 |
Mrs. Terry L. Bruno, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35629 Highway 72 Bldg 3, Salem, MO 65560 Phone: 573-729-8000 Fax: 573-729-8001 | |
Miriam Louise Brawley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 W Scenic Rivers Blvd, Salem, MO 65560 Phone: 573-729-5533 Fax: 573-202-2466 | |
Karla A Callahan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S Grand St, Salem, MO 65560 Phone: 573-729-7071 Fax: 573-729-6949 | |
Michelle Lynn Bland, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35629 Highway 72, Salem, MO 65560 Phone: 573-729-8000 | |
Brenda Gott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3103 Hh Highway, Salem, MO 65560 Phone: 573-729-2605 | |
Mr. Craig Tatom, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Hwy 72 N Physicians Office Building Ii, Salem, MO 65560 Phone: 573-729-6112 Fax: 573-729-4035 | |
Mrs. Kimberly Ann Kemnitzer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 W 3rd St, Salem, MO 65560 Phone: 573-453-5070 Fax: 573-340-6086 |