Jessica Dawn Yacques, CNP | |
455 Shawnee Ln, Chillicothe, OH 45601-4145 | |
(740) 779-4888 | |
Not Available |
Full Name | Jessica Dawn Yacques |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 455 Shawnee Ln, Chillicothe, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063826212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 332512 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 332512 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adena Regional Medical Center | Chillicothe, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adena Medical Group Llc | 1153456579 | 329 |
Entity Name | Adena Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Mailing Address | Practice Location Address |
---|---|
Jessica Dawn Yacques, CNP 455 Shawnee Ln, Chillicothe, OH 45601-4145 Ph: (740) 779-4888 | Jessica Dawn Yacques, CNP 455 Shawnee Ln, Chillicothe, OH 45601-4145 Ph: (740) 779-4888 |
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