Jaelynda Prothero, is a
Licensed Vocational Nurse based in Atascosa, Texas. Jaelynda Prothero is licensed to practice in Texas (license number 1010784) and her current practice location is
13787 Macdona Lacoste Rd Lot 20, Atascosa, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 502-4681.
NPI number for Jaelynda Prothero is 1881295053 and her current mailing address is 13787 Macdona Lacoste Rd Lot 20, Atascosa, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881295053.
Provider's Profile
Full Name | Jaelynda Prothero |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 13787 Macdona Lacoste Rd Lot 20, Atascosa, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881295053
- Provider Enumeration Date: 11/04/2020
- Last Update Date: 11/04/2020
Medical Identifiers
Medical identifiers for Jaelynda Prothero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881295053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 1010784 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaelynda Prothero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaelynda Prothero, 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 Ph: (210) 502-4681 | Jaelynda Prothero, 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 Ph: (210) 502-4681 |
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