Jena Wallace, | |
322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 | |
(828) 757-6460 | |
(828) 759-4901 |
Full Name | Jena Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 322 Mulberry St Sw Ste A, Lenoir, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699122820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 253837 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caldwell Memorial Hospital | Lenoir, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geriatric Consultants Pllc | 5294132387 | 32 |
Caldwell Memorial Hospital Inc | 5395646970 | 167 |
Entity Name | Caldwell Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
Entity Name | Geriatric Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801478086 PECOS PAC ID: 5294132387 Enrollment ID: O20210915003266 |
Entity Name | Careconnectmd North Carolina P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104507441 PECOS PAC ID: 3971965898 Enrollment ID: O20230809002596 |
Entity Name | Caldwell Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861268245 PECOS PAC ID: 5395646970 Enrollment ID: O20240325000749 |
Mailing Address | Practice Location Address |
---|---|
Jena Wallace, 1853 18th Street Ct Ne, Hickory, NC 28601-0533 Ph: (860) 334-2475 | Jena Wallace, 322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 Ph: (828) 757-6460 |
Sandra St Louis Thompson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Nc Highway 268, Lenoir, NC 28645 Phone: 828-754-6850 | |
Dr. Emily Combs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 Mulberry St Sw, Lenoir, NC 28645 Phone: 828-757-6460 | |
Jesse Lovins Gullett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1041 Morganton Blvd Sw # 100, Lenoir, NC 28645 Phone: 828-323-2460 | |
Mrs. Malorie Susan Crawford, R.N.C., B.S.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 Mulberry Street, Sw, Suite A, Lenoir, NC 28645 Phone: 828-757-6400 Fax: 828-757-6424 | |
Tricia Kinsey Masters, RN, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave Sw, Suite C, Lenoir, NC 28645 Phone: 828-757-5509 Fax: 828-757-5538 | |
Kirsten Seals, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2651 Morganton Blvd Sw, Lenoir, NC 28645 Phone: 828-757-8950 Fax: 828-757-8968 | |
Katie Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 Mulberry St Sw Ste A, Lenoir, NC 28645 Phone: 828-757-6460 Fax: 828-759-4901 |