Jessica T Johnson, NURSE PRACTITIONER | |
4115 Fairview Ave, Downers Grove, IL 60515-2268 | |
(708) 654-0321 | |
Not Available |
Full Name | Jessica T Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4115 Fairview Ave, Downers Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811032683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 197256 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61145807 (Washington) | Primary |
Entity Name | Md @ Home Illinois, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568758415 PECOS PAC ID: 7810167830 Enrollment ID: O20110831000340 |
Mailing Address | Practice Location Address |
---|---|
Jessica T Johnson, NURSE PRACTITIONER 9303 176th Pl Ne Unit 2, Redmond, WA 98052-0813 Ph: (708) 654-0321 | Jessica T Johnson, NURSE PRACTITIONER 4115 Fairview Ave, Downers Grove, IL 60515-2268 Ph: (708) 654-0321 |
Theresa Dolan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1038 Fax: 630-829-1080 | |
Mrs. Tamyra Michelle Janicki, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1315 Butterfield Rd Ste 206, Downers Grove, IL 60515 Phone: 630-317-7690 Fax: 630-317-7894 | |
Mrs. Ebonique Thomson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3005 Highland Pkwy, Downers Grove, IL 60515 Phone: 716-249-1820 | |
Mansi P Patel, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Branding Ave, Ste 310, Downers Grove, IL 60515 Phone: 312-609-0300 | |
Ms. Elizabeth Sowa, MSN, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1084 | |
Letasha Lewis, MSN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 900 Ogden Ave # 335, Downers Grove, IL 60515 Phone: 773-234-0388 Fax: 773-234-0394 | |
Lizeht Monarrez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1084 |