Jessica M Larche, | |
4600 Puddledock Rd, Prince George, VA 23875-1235 | |
(804) 704-8655 | |
Not Available |
Full Name | Jessica M Larche |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4600 Puddledock Rd, Prince George, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033754874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024178538 (Virginia) | Primary |
Entity Name | Emergency Physicians Immediate Care Center 1 Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598020679 PECOS PAC ID: 0941452833 Enrollment ID: O20121128000170 |
Entity Name | Emergency Physicians Immediate Care Center 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992138820 PECOS PAC ID: 0941438758 Enrollment ID: O20140123001807 |
Entity Name | Alexandria Springfield Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
Mailing Address | Practice Location Address |
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Jessica M Larche, 127 Bastogne Rd Apt B, Fort Lee, VA 23801-1119 Ph: (803) 458-2106 | Jessica M Larche, 4600 Puddledock Rd, Prince George, VA 23875-1235 Ph: (804) 704-8655 |
Kimberly Fox, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 Crossings Ct Ste 101-103, Prince George, VA 23875 Phone: 757-695-9406 | |
Tanesha Ford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Puddledock Rd Ste 300, Prince George, VA 23875 Phone: 804-526-1111 | |
Kim Parrish Dobson, FNP-C APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5842 Allin Road, Suite A, Prince George, VA 23875 Phone: 804-895-6131 Fax: 804-895-6183 | |
Takara Joy Figueroa, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Puddledock Rd, Prince George, VA 23875 Phone: 804-526-1111 | |
Mrs. Theresa Mccormack, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2035 Waterside Rd, Suite 105, Prince George, VA 23875 Phone: 804-520-0002 Fax: 804-520-2259 | |
Ms. Karen Saunders, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Puddledock Rd, Suite 300, Prince George, VA 23875 Phone: 804-526-1111 Fax: 804-526-2978 |