Jacqueline Miles, FNP | |
5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052-0964 | |
(972) 522-0691 | |
Not Available |
Full Name | Jacqueline Miles |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 5224 S State Highway 360 Ste 230, Grand Prairie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073143327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 874631 (Texas) | Primary |
Entity Name | Medhealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832 |
Mailing Address | Practice Location Address |
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Jacqueline Miles, FNP 5224 S State Highway 360, Grand Prairie, TX 75052-0950 Ph: (972) 552-0691 | Jacqueline Miles, FNP 5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052-0964 Ph: (972) 522-0691 |
Amber Mullins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4203 S Carrier Pkwy, Grand Prairie, TX 75052 Phone: 972-642-3190 | |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 | |
Joy Ogbimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 | |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 | |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 | |
Modupe Olatunde, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Carrier Pwky, Grand Prairie, TX 75051 Phone: 214-743-1200 |