| Jennifer Booze-hawkes, FNP-C, MSN | |
|
1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | |
| (928) 788-3333 | |
| Not Available |
| Full Name | Jennifer Booze-hawkes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1510 E Wagon Wheel Ln, Fort Mohave, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528421971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP8599 (Arizona) | Primary |
| Entity Name | Tri-state Community Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841703253 PECOS PAC ID: 5597991968 Enrollment ID: O20200603000665 |
| Entity Name | Exceptional Physicians Group Bullhead City Hospital Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518732023 PECOS PAC ID: 9335599604 Enrollment ID: O20231228002414 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Booze-hawkes, FNP-C, MSN 4947 S Calle Del Media, Fort Mohave, AZ 86426-6595 Ph: () - | Jennifer Booze-hawkes, FNP-C, MSN 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 Ph: (928) 788-3333 |
Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400 | |
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 | |
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150 | |
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000 | |
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 | |
Annie Marie Rodman, MSN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426 Phone: 928-788-9378 Fax: 928-788-9381 |