Jessica Lynn Witty Nagel, CNM | |
2020 Sutter Pl, Suite 203, Davis, CA 95616-6213 | |
(530) 750-5880 | |
(530) 750-5881 |
Full Name | Jessica Lynn Witty Nagel |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2020 Sutter Pl, Davis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174764187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367A00000X | Advanced Practice Midwife | NM1852 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jessica Lynn Witty Nagel, CNM Po Box 255228, Sacramento, CA 95865-5228 Ph: (530) 750-5880 | Jessica Lynn Witty Nagel, CNM 2020 Sutter Pl, Suite 203, Davis, CA 95616-6213 Ph: (530) 750-5880 |
Dana Deane, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-753-3498 Fax: 530-758-3109 | |
Gloria Aimee Gonzalez, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-758-2060 Fax: 530-758-8490 | |
Ms. Isabella C Blackman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-753-3498 | |
Jennifer Millspaugh Taylor, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-758-1510 | |
Elizabeth Morales, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2051 John Jones Rd, Davis, CA 95616 Phone: 530-758-2060 | |
Barbara Jean Boehler, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2040 Sutter Pl, Davis, CA 95616 Phone: 530-758-2060 |