Jennifer A Stout, CRNP | |
10 Liberty Ln, Latrobe, PA 15650-2772 | |
(724) 537-9208 | |
Not Available |
Full Name | Jennifer A Stout |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10 Liberty Ln, Latrobe, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750045167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP024601 (Pennsylvania) | Primary |
Entity Name | Recovery Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447609565 PECOS PAC ID: 2062799935 Enrollment ID: O20170502000299 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Stout, CRNP 810 S Shenandoah Dr, Latrobe, PA 15650-2421 Ph: (724) 640-4113 | Jennifer A Stout, CRNP 10 Liberty Ln, Latrobe, PA 15650-2772 Ph: (724) 537-9208 |
Sarah Marie Surowiec, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 E Tacoma Ave, Latrobe, PA 15650 Phone: 724-875-6263 | |
Elizabeth A Byers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mellon Way, Latrobe, PA 15650 Phone: 724-537-1000 | |
Judith D Shabbick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 W 2nd Ave, Latrobe, PA 15650 Phone: 724-537-1650 Fax: 724-532-6047 | |
Amanda Nicole Dalla Betta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Excela Health Dr Ste 103, Latrobe, PA 15650 Phone: 724-804-1780 Fax: 724-804-1777 | |
Mary Mcmahon, DNP, FNP-BC, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 Pa-217, #1, Latrobe, PA 15650 Phone: 724-694-2723 | |
Julia Dando, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Liberty Ln, Latrobe, PA 15650 Phone: 724-537-9208 Fax: 724-537-0867 | |
Mrs. Mallory Nicole Gergely, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Ligonier St, Latrobe, PA 15650 Phone: 724-589-8581 Fax: 724-539-2739 |