Jamie Green, FNP-C | |
700 E Township Line Rd, Havertown, PA 19083-5733 | |
(888) 985-2727 | |
Not Available |
Full Name | Jamie Green |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 700 E Township Line Rd, Havertown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033658828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP025925 (Pennsylvania) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | SP017214 (Pennsylvania) | Secondary |
Entity Name | Advanced Spine And Pain Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730359084 PECOS PAC ID: 0648358234 Enrollment ID: O20151022000319 |
Mailing Address | Practice Location Address |
---|---|
Jamie Green, FNP-C 60 N 23rd St Apt 2408, Philadelphia, PA 19103-1577 Ph: (781) 820-1362 | Jamie Green, FNP-C 700 E Township Line Rd, Havertown, PA 19083-5733 Ph: (888) 985-2727 |
Mrs. Tara Ann Bussett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike Ste 350, Havertown, PA 19083 Phone: 610-853-1112 Fax: 610-446-1425 | |
Lijuan Yuan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 448, Havertown, PA 19083 Phone: 610-853-2502 | |
Veronica Gottsch, MSN, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Davis Rd, Havertown, PA 19083 Phone: 610-329-0834 | |
Ashley Womack, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Chester Pike Ste 102a, Havertown, PA 19083 Phone: 610-446-3650 | |
Mrs. Shayne King Dougherty, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Greenview Ln, Havertown, PA 19083 Phone: 610-924-9763 | |
Debra R Abraham, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 143 Colfax Rd, Havertown, PA 19083 Phone: 610-446-2817 |