| Jazzriel Le Clark-casto, NP | |
|
527 Medical Park Dr Ste 205, Bridgeport, WV 26330-9009 | |
| (681) 342-4500 | |
| Not Available |
| Full Name | Jazzriel Le Clark-casto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 527 Medical Park Dr Ste 205, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497500730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 107200 (West Virginia) | Primary |
| Entity Name | United Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Jazzriel Le Clark-casto, NP 5 Hall Valley Ct Ste 101, Bridgeport, WV 26330-9851 Ph: (304) 904-8148 | Jazzriel Le Clark-casto, NP 527 Medical Park Dr Ste 205, Bridgeport, WV 26330-9009 Ph: (681) 342-4500 |
Jessica Lynn Carder, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Miss Amber Kayla Cochran, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 400, Bridgeport, WV 26330 Phone: 681-342-3550 Fax: 681-342-3507 | |
Michelle L Hasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 Phone: 681-342-3500 Fax: 681-342-3507 | |
Erin Colleen Hawkins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330 Phone: 304-624-7200 Fax: 304-423-5208 | |
Jennifer Michelle Fittro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-203-3967 | |
Sarah A Layman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Medical Park Dr Ste 501, Bridgeport, WV 26330 Phone: 304-842-3993 | |
Heaven Mcgee, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Medical Park Dr Ste 200, Bridgeport, WV 26330 Phone: 304-624-7200 |