| Jessica Leigh Fuqua, NP | |
|
6701 Airport Blvd., 'b' Bldg., 't' Level, Mobile, AL 36608 | |
| (251) 625-6896 | |
| Not Available |
| Full Name | Jessica Leigh Fuqua |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6701 Airport Blvd., Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1659981959 | NPI | - | NPPES |
| 255792 | Medicaid | AL | |
| A10621A | Other | AL | MEDICARE PTAN |
| P02566936 | Other | AL | RAILROAD MEDICARE |
| 257688 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-100344 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
| Southern Cancer Center Pc | 5597860403 | 28 |
| Entity Name | Southern Cancer Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578629556 PECOS PAC ID: 5597860403 Enrollment ID: O20070423000242 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Leigh Fuqua, NP 29653 Anchor Blvd, Daphne, AL 36526 Ph: (251) 625-6896 | Jessica Leigh Fuqua, NP 6701 Airport Blvd., 'b' Bldg., 't' Level, Mobile, AL 36608 Ph: (251) 625-6896 |
Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852 | |
Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581 | |
Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565 | |
Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456 | |
Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620 | |
Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281 |