Jacqueline Richart, NURSE PRACTITIONER | |
6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | |
(770) 454-4685 | |
(770) 454-4690 |
Full Name | Jacqueline Richart |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6300 Hospital Pkwy Ste 260, Johns Creek, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801403654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN280432 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | 2016013133 (Texas) | Primary |
Entity Name | Northside Primary Care Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Richart, NURSE PRACTITIONER 5333 Brendlynn Dr, Suwanee, GA 30024-7556 Ph: (816) 352-0121 | Jacqueline Richart, NURSE PRACTITIONER 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 Ph: (770) 454-4685 |
Hannah Livingston, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11758 Jones Bridge Rd, Johns Creek, GA 30005 Phone: 770-772-1830 | |
Mosesal Zakia White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 Phone: 770-389-9116 | |
Mrs. Ashley Renee Cason, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11340 Lakefield Dr Ste 200, Johns Creek, GA 30097 Phone: 334-464-0613 | |
Reagan O'connor, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11705 Jones Bridge Rd, A201, Johns Creek, GA 30005 Phone: 770-772-1830 | |
Miss Jena Louise Jaragoski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy Ste 110, Johns Creek, GA 30097 Phone: 404-778-8240 | |
Tarannum Rupani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5468 Cameron Parc Dr, Johns Creek, GA 30022 Phone: 404-642-4612 | |
Joy Page, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097 Phone: 770-497-1555 |