Jennifer Alice Boateng, | |
9087 Woodgreen Way, Jonesboro, GA 30238-4531 | |
(404) 729-7854 | |
Not Available |
Full Name | Jennifer Alice Boateng |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9087 Woodgreen Way, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831817980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN282349 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN282349 (Georgia) | Primary |
Entity Name | Tlc Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
Entity Name | Peachtree Hospice Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255788436 PECOS PAC ID: 5496988156 Enrollment ID: O20160902000940 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Alice Boateng, 9087 Woodgreen Way, Jonesboro, GA 30238-4531 Ph: (404) 729-7854 | Jennifer Alice Boateng, 9087 Woodgreen Way, Jonesboro, GA 30238-4531 Ph: (404) 729-7854 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 | |
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400 | |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 | |
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573 | |
Lashaunda Denise Clerizier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1096 Brandon Hill Way, Jonesboro, GA 30238 Phone: 305-417-2885 | |
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387 | |
Florence Eke Onuoha-emeka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1979 Lake Chase Ln, Jonesboro, GA 30236 Phone: 470-728-9285 |