Jessica Sanders, | |
211 S Jones Rd, Olanta, SC 29114-9705 | |
(843) 396-9730 | |
(843) 396-9735 |
Full Name | Jessica Sanders |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 211 S Jones Rd, Olanta, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134841372 | NPI | - | NPPES |
NP8958 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26510 (South Carolina) | Primary |
Entity Name | Genesis Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437484862 PECOS PAC ID: 4688869696 Enrollment ID: O20110926000774 |
Mailing Address | Practice Location Address |
---|---|
Jessica Sanders, 8906 Two Notch Rd, Columbia, SC 29223-6366 Ph: (803) 254-3676 | Jessica Sanders, 211 S Jones Rd, Olanta, SC 29114-9705 Ph: (843) 396-9730 |
Sherrlyn Mcfadden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 S Jones Rd, Olanta, SC 29114 Phone: 843-393-7452 Fax: 843-396-9735 | |
Shannon Marie Dunlap, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 S Jones Rd, Olanta, SC 29114 Phone: 843-396-9730 Fax: 843-396-9735 | |
Sophia Cunha Evans, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 S Jones Rd, Olanta, SC 29114 Phone: 843-396-9730 Fax: 803-396-9735 | |
Mary G. Daniels, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Main St, Olanta, SC 29114 Phone: 843-396-4619 Fax: 843-396-4503 | |
Jolene Osorio, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 S Jones Rd, Olanta, SC 29114 Phone: 843-396-9730 | |
Vanessa Ashley Kinney, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 S Jones Rd, Olanta, SC 29114 Phone: 843-396-9730 Fax: 843-396-9735 |