Edelquinne Ann Jacildo, | |
106 Centre Blvd Ste G, Marlton, NJ 08053-4131 | |
(856) 797-2810 | |
Not Available |
Full Name | Edelquinne Ann Jacildo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 106 Centre Blvd Ste G, Marlton, 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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1639893274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01373900 (New Jersey) | Primary |
Entity Name | New Age Behavioral Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689089344 PECOS PAC ID: 4688895717 Enrollment ID: O20141015000176 |
Mailing Address | Practice Location Address |
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Edelquinne Ann Jacildo, 106 Centre Blvd Ste G, Marlton, NJ 08053-4131 Ph: () - | Edelquinne Ann Jacildo, 106 Centre Blvd Ste G, Marlton, NJ 08053-4131 Ph: (856) 797-2810 |
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Mrs. Lisa Spurlock Abrams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 E Route 70, Building A, Marlton, NJ 08053 Phone: 856-797-4721 | |
Letisha Hogans, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 765 Route 70 E Bldg A-101, Marlton, NJ 08053 Phone: 856-797-4800 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 | |
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625 |