Jamesha Audria Wise, | |
9305 Kings Hwy, King George, VA 22485-3423 | |
(405) 775-2250 | |
Not Available |
Full Name | Jamesha Audria Wise |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 9305 Kings Hwy, King George, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669053385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024181172 (Virginia) | Primary |
Entity Name | Advanced Integrative Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851884977 PECOS PAC ID: 2668808569 Enrollment ID: O20200213001298 |
Mailing Address | Practice Location Address |
---|---|
Jamesha Audria Wise, 9305 Kings Hwy Ste A, King George, VA 22485-3423 Ph: (540) 775-2250 | Jamesha Audria Wise, 9305 Kings Hwy, King George, VA 22485-3423 Ph: (405) 775-2250 |
Sara Ortu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11458 Kings Hwy, King George, VA 22485 Phone: 866-389-2727 Fax: 401-652-9787 | |
Keesha Dawn Lloyd, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11131 Journal Pkwy, King George, VA 22485 Phone: 540-625-2527 | |
Mrs. Brooke Gabrielle Boswell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11458 Kings Hwy, King George, VA 22485 Phone: 540-775-2284 | |
Joelle Lopez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11458 Kings Hwy, King George, VA 22485 Phone: 540-775-2284 | |
Holly Blum, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11458 Kings Hwy, King George, VA 22485 Phone: 866-389-2727 | |
Eileen Jennifer Rogers Graham, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11458 Kings Hwy, King George, VA 22485 Phone: 866-389-2727 | |
Ms. Susan Mary Aguilera, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11458 Kings Hwy, King George, VA 22485 Phone: 540-775-2284 |