Jessie L Michael, APRN | |
2824 Enterprise Rd, Orange City, FL 32763-8428 | |
(386) 774-7411 | |
(386) 774-7412 |
Full Name | Jessie L Michael |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2824 Enterprise Rd, Orange City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699494245 | NPI | - | NPPES |
115491600 | Medicaid | FL | |
APRN11021559 | Other | FL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 11021559 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN11021559 (Florida) | Primary |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
---|---|
Jessie L Michael, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Jessie L Michael, APRN 2824 Enterprise Rd, Orange City, FL 32763-8428 Ph: (386) 774-7411 |
Ashley Nicole Briggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2777 Enterprise Rd Ste 4, Orange City, FL 32763 Phone: 386-774-2550 Fax: 386-774-5140 | |
Mrs. Juliet Omonme Agbator, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 Town Center Dr Ste 100, Orange City, FL 32763 Phone: 386-228-0661 | |
Ms. Traci Lynn Zimmer, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 W Minnesota Ave, Orange City, FL 32763 Phone: 386-316-5439 | |
Mrs. Cristyl Rachelle Mcclure, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5508 | |
Rebecca Kochanowicz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2824 Enterprise Rd, Orange City, FL 32763 Phone: 386-774-7411 Fax: 386-774-7412 | |
Mrs. Lois Kimberly Steinbaum, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2864 Wellness Ave Ste 200, Orange City, FL 32763 Phone: 386-775-0333 | |
Marissa Wagner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-668-2221 |