Jacqueline Marie Dupree, | |
765 Route 10 E Ste 201, Randolph, NJ 07869-1925 | |
(973) 989-0068 | |
(973) 361-8955 |
Full Name | Jacqueline Marie Dupree |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 765 Route 10 E Ste 201, Randolph, 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 |
---|---|---|---|
1609589662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01356800 (New Jersey) | Primary |
Entity Name | Id Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Marie Dupree, 765 Route 10 E Ste 201, Randolph, NJ 07869-1925 Ph: (973) 989-0068 | Jacqueline Marie Dupree, 765 Route 10 E Ste 201, Randolph, NJ 07869-1925 Ph: (973) 989-0068 |
Lindsay Elizabeth Kellogg, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Suite 201, Randolph, NJ 07869 Phone: 973-989-0068 | |
Laura Rina Cecchetto, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Berry Ln, Randolph, NJ 07869 Phone: 631-806-0267 | |
Ms. Annette K Allegra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 447 Route 10 E Ste 2, Randolph, NJ 07869 Phone: 862-781-0082 | |
Heather Hogh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E Ste 201, Randolph, NJ 07869 Phone: 973-989-0068 Fax: 973-361-8955 | |
Kaitlyn Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Ste 201, Randolph, NJ 07869 Phone: 973-479-1128 | |
Kelly Vanwyck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 477 Route 10 Ste 205, Randolph, NJ 07869 Phone: 973-560-9500 | |
Barbara Baggstrom, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Route 10 E, Ste 203, Randolph, NJ 07869 Phone: 973-659-9991 Fax: 973-659-9632 |