Jacquelyn James, CRNA | |
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
(928) 729-8000 | |
Not Available |
Full Name | Jacquelyn James |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811136112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 23749 (Alaska) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 347 (Alaska) | Primary |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Jacquelyn James, CRNA Po Box 589, Fort Defiance Indian Hospital Board, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Jacquelyn James, CRNA Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
William Reno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Fort Defiance Indian Hospital, Corner Or Rt N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8741 | |
Kevin A Lewellen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Peter Joseph Marinich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Corner Of N7 And N12, Fort Defiance, AZ 86504 Phone: 928-729-8749 | |
Joseph Scot Denhalter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Viji Roberts, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Jorge E. Fornes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Gregory P Lewandowski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 505-662-9256 |