Jessica Jasmine Green, PNP | |
4687 Poucey Tract Road, Glen Allen, VA 23059 | |
(804) 422-5437 | |
Not Available |
Full Name | Jessica Jasmine Green |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 4687 Poucey Tract Road, Glen Allen, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639628407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 0024173970 (Virginia) | Primary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
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Jessica Jasmine Green, PNP 4687 Poucey Tract Road, Glen Allen, VA 23059 Ph: (757) 604-5446 | Jessica Jasmine Green, PNP 4687 Poucey Tract Road, Glen Allen, VA 23059 Ph: (804) 422-5437 |
Denise Ann Griffin Spigle, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11271 Nuckols Rd, Minuteclinic, Glen Allen, VA 23059 Phone: 804-217-8881 Fax: 804-217-8886 | |
Kusum Bhetwal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12804 Westin Estates Drive, Glen Allen, VA 23059 Phone: 804-382-5458 | |
Samantha Maciolek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10571 Telegraph Rd Ste 110, Glen Allen, VA 23059 Phone: 804-266-9616 | |
Emily E Slater, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10150 Staples Mill Rd, Suite A, Glen Allen, VA 23060 Phone: 804-893-8627 Fax: 804-673-5497 | |
Leah Blatzer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4510 Marshall Run Cir Apt 204, Glen Allen, VA 23059 Phone: 614-634-3726 | |
Kristine Ashley Garcia, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Old Brick Rd Ste 105, Glen Allen, VA 23060 Phone: 804-352-3717 Fax: 804-552-8882 | |
Ms. Iris Catherine Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13100 Mountain Rd, Glen Allen, VA 23059 Phone: 804-510-0056 Fax: 804-510-0409 |