Mr Jack A Stansbury Jr, NP | |
1 Pinckney Blvd, Beaufort, SC 29902-6122 | |
(843) 228-5600 | |
Not Available |
Full Name | Mr Jack A Stansbury Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1 Pinckney Blvd, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508014853 | NPI | - | NPPES |
NP4330 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19033 (South Carolina) | Primary |
363LF0000X | Nurse Practitioner - Family | AP05772 (Louisiana) | Secondary |
Entity Name | Patient First Richmond Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20031103000500 |
Mailing Address | Practice Location Address |
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Mr Jack A Stansbury Jr, NP 1 Pinckney Blvd, Beaufort, SC 29902-6122 Ph: (843) 228-5600 | Mr Jack A Stansbury Jr, NP 1 Pinckney Blvd, Beaufort, SC 29902-6122 Ph: (843) 228-5600 |
Marjorie Sapp, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 694 Paige Dr, Beaufort, SC 29906 Phone: 843-524-4504 | |
Mathew Robert Loe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5505 | |
Taylor D Robinson, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5200 | |
Angela Mae Riddle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 335 Pleasant Point Dr, Beaufort, SC 29907 Phone: 803-699-9073 Fax: 866-527-0937 | |
Alice Armstrong Zengel, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort, Attn:prof Affairs Coordinator, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196 | |
Anna Christine Bennett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Robert Smalls Pkwy, Beaufort, SC 29906 Phone: 843-510-6550 Fax: 843-510-6555 | |
Jessica Moore Lowther, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Midtown Dr, Beaufort, SC 29906 Phone: 843-379-7746 Fax: 843-522-1275 |