Deborah Carol Stively, APRN | |
228 Memorial Dr, Jesup, GA 31545-0102 | |
(912) 530-6582 | |
Not Available |
Full Name | Deborah Carol Stively |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 228 Memorial Dr, Jesup, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508112749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN119496 (Georgia) | Primary |
Entity Name | St Vincent's Ambulatory Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051129000302 |
Mailing Address | Practice Location Address |
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Deborah Carol Stively, APRN 960 Edmondson Rd, Screven, GA 31560-7304 Ph: (912) 294-4846 | Deborah Carol Stively, APRN 228 Memorial Dr, Jesup, GA 31545-0102 Ph: (912) 530-6582 |
Melanie D Collum, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 391 S 1st St, Jesup, GA 31545 Phone: 912-427-8433 Fax: 912-427-9851 | |
Mrs. Stacie Brooker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Peachtree St, Jesup, GA 31545 Phone: 912-427-2043 | |
Leslie Brook Tzen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202 | |
Lesleigh Dee Beard, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Sunset Blvd, Jesup, GA 31545 Phone: 912-588-0080 Fax: 912-588-0082 | |
Kelly Boyette, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Memorial Dr, Jesup, GA 31545 Phone: 912-427-4413 | |
Samantha Anthonette Wilkerson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202 | |
Halei Alise Kirkland, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Colonial Way, Jesup, GA 31545 Phone: 912-588-9110 |