Jennifer Ann Mackey, APRN | |
1130 S Main St, Englewood, OH 45322-2819 | |
(937) 208-6879 | |
(937) 208-6886 |
Full Name | Jennifer Ann Mackey |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1130 S Main St, Englewood, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679081574 | NPI | - | NPPES |
0008863 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.021227 (Ohio) | Primary |
Entity Name | Dayton Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
Entity Name | Premier Health Urgent Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134633761 PECOS PAC ID: 3870848088 Enrollment ID: O20180612000907 |
Entity Name | Dayton Childrens Specialty Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Ann Mackey, APRN 3170 Kettering Blvd, Building B, 3rd Floor, Moraine, OH 45439-1924 Ph: (937) 991-3186 | Jennifer Ann Mackey, APRN 1130 S Main St, Englewood, OH 45322-2819 Ph: (937) 208-6879 |
Ms. Krista A Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 W National Rd Ste 400, Englewood, OH 45315 Phone: 937-836-6000 Fax: 937-832-4805 | |
Ashley Nicole Mowen, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Westrock Farm Dr, Englewood, OH 45322 Phone: 937-307-3705 | |
Amy Renee Letts, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 305, Englewood, OH 45415 Phone: 937-836-5542 Fax: 937-836-4152 | |
Stacey Michelle Mcroberts, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 937-991-3188 | |
Emily Ann Allen, MSN, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 937-541-3563 | |
Rose Manka Amin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6830 Packingham Dr, Englewood, OH 45322 Phone: 937-367-5957 | |
Nicole Ann Gross, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 W Wenger Rd, Englewood, OH 45322 Phone: 937-620-7017 |