Jessica Willis, FNP-C | |
2722 N Decatur Rd, Decatur, GA 30033-5910 | |
(678) 467-7598 | |
Not Available |
Full Name | Jessica Willis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2722 N Decatur Rd, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023639457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN218439 (Georgia) | Primary |
Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20150227001658 |
Entity Name | Hardy Renew Wellness,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
Mailing Address | Practice Location Address |
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Jessica Willis, FNP-C 1971 Drew Dr Nw, Atlanta, GA 30318 Ph: (678) 467-7598 | Jessica Willis, FNP-C 2722 N Decatur Rd, Decatur, GA 30033-5910 Ph: (678) 467-7598 |
Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111 | |
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926 | |
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645 | |
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710 | |
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038 | |
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886 |