Jessica Marie Staton, NP | |
8653 N 32nd St Ste 1c, Richland, MI 49083-9494 | |
(269) 225-3105 | |
Not Available |
Full Name | Jessica Marie Staton |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8653 N 32nd St Ste 1c, Richland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972215226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704293156 (Michigan) | Primary |
Entity Name | Age Management Of West Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558700625 PECOS PAC ID: 2466686290 Enrollment ID: O20131010001662 |
Mailing Address | Practice Location Address |
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Jessica Marie Staton, NP 6347 Cooney Rd, Delton, MI 49046-7751 Ph: (269) 598-1810 | Jessica Marie Staton, NP 8653 N 32nd St Ste 1c, Richland, MI 49083-9494 Ph: (269) 225-3105 |
Emily E Derhammer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-532-6722 | |
Sandra Dejong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 | |
Heather Nicole Merveldt, FNP-BC, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500 | |
Sally Vellenga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-226-2500 | |
Sharon Hanley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 | |
Cheryl Czerney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9979 Wildwood Dr, Richland, MI 49083 Phone: 269-629-9808 | |
Heather A Prusi-wilson, MSN, FNP-BC, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500 |