Jessica Marie Maxwell, APRN | |
106 Nw 9th Ave, Mulberry, FL 33860-2922 | |
(866) 234-8534 | |
(863) 683-2579 |
Full Name | Jessica Marie Maxwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 106 Nw 9th Ave, Mulberry, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568695898 | NPI | - | NPPES |
001465200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | ARNP9265425 (Florida) | Primary |
Entity Name | Central Florida Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
Mailing Address | Practice Location Address |
---|---|
Jessica Marie Maxwell, APRN 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Jessica Marie Maxwell, APRN 106 Nw 9th Ave, Mulberry, FL 33860-2922 Ph: (866) 234-8534 |
Lizabel Feliciano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Mr. John R Pollard, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 N Church Ave, Mulberry, FL 33860 Phone: 863-619-5201 Fax: 863-646-8575 | |
Daniela Lucero Diaz, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Mrs. Patricia C Bayshore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Susan F Bernal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 N Church Ave, Mulberry, FL 33860 Phone: 863-425-9309 Fax: 863-425-8401 | |
Allison Janet Bellows, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3136 Blackwater Oaks Way, Mulberry, FL 33860 Phone: 863-804-1442 |