| Jennifer Martina Landrum, FNP-BC | |
|
601 W Riverside Dr Ste 2, Parker, AZ 85344-5119 | |
| (928) 256-4110 | |
| (928) 256-4112 |
| Full Name | Jennifer Martina Landrum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 601 W Riverside Dr Ste 2, Parker, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720551732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F10181025 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 240917 (Arizona) | Primary |
| Entity Name | Geriatric Associates Of Montgomery, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679637912 PECOS PAC ID: 5991738213 Enrollment ID: O20050915001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Martina Landrum, FNP-BC Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Jennifer Martina Landrum, FNP-BC 601 W Riverside Dr Ste 2, Parker, AZ 85344-5119 Ph: (928) 256-4110 |
Melissa Rascon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-7380 | |
Miss Gina Marie Cook, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr Ste 4, Parker, AZ 85344 Phone: 928-256-4110 Fax: 928-722-6113 | |
Donald Francis Walpole, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
Mary Ann Widman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-9104 | |
Mrs. Kelli Lynn Hamilton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 S Joshua Ave, Parker, AZ 85344 Phone: 928-669-9700 | |
Patricia L Stanton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W Riverside Dr, Suite 3, Parker, AZ 85344 Phone: 928-669-5550 Fax: 928-669-0061 |