| Jennifer Michelle Lucio, NP | |
|
3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | |
| (336) 718-8383 | |
| (336) 718-9622 |
| Full Name | Jennifer Michelle Lucio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3333 Silas Creek Pkwy, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952946659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 5012554 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5012554 (North Carolina) | Primary |
| Entity Name | Nh-cl Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487276499 PECOS PAC ID: 6305262692 Enrollment ID: O20200818000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Michelle Lucio, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 718-8383 | Jennifer Michelle Lucio, NP 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-8383 |
Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814 | |
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814 | |
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916 | |
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000 | |
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878 | |
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622 |