Jacinta Iwuji, NP | |
200 E Military Rd, Suite 1, Marion, AR 72364-1811 | |
(870) 739-9300 | |
Not Available |
Full Name | Jacinta Iwuji |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 200 E Military Rd, Marion, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578921698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | A004904 (Arkansas) | Primary |
363LF0000X | Nurse Practitioner - Family | RN0000213143 (Tennessee) | Secondary |
Entity Name | Kejac Ventures Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265919005 PECOS PAC ID: 9335490325 Enrollment ID: O20181002001250 |
Mailing Address | Practice Location Address |
---|---|
Jacinta Iwuji, NP Po Box 1051, Collierville, TN 38027-1051 Ph: (870) 739-9300 | Jacinta Iwuji, NP 200 E Military Rd, Suite 1, Marion, AR 72364-1811 Ph: (870) 739-9300 |
Teddy Phillips, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 Block St, Marion, AR 72364 Phone: 870-559-2314 Fax: 870-559-2392 | |
Ms. Lisa Renee Bridges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 423 Magnolia St, Marion, AR 72364 Phone: 901-562-9464 | |
Fallon E Wyatt, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4001 Commercial Center Dr Ste 1, Marion, AR 72364 Phone: 901-496-0071 | |
Mrs. Kristy Anne Whited, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4001 Commercial Center Dr Ste 1, Marion, AR 72364 Phone: 870-636-9218 | |
Catrina Evette Selvy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 635 Riverwest Cir, Marion, AR 72364 Phone: 501-350-0725 | |
Robin Lynne Phillips, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1139 State Highway 77, Marion, AR 72364 Phone: 870-559-2480 Fax: 870-559-2555 | |
Jama Bradford Davis, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Bancario, Suite 1, Marion, AR 72364 Phone: 870-739-8670 Fax: 870-739-8706 |