Jiwon Lee, | |
1950 S Scenic Ave Apt A307, Springfield, MO 65807-2158 | |
(417) 619-1658 | |
Not Available |
Full Name | Jiwon Lee |
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Gender | Female |
Speciality | Registered Nurse |
Location | 1950 S Scenic Ave Apt A307, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437884327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2014005304 (Missouri) | Primary |
Entity Name | Banner - University Hospital Based Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
Entity Name | Pca Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164804258 PECOS PAC ID: 1658675558 Enrollment ID: O20160215000555 |
Mailing Address | Practice Location Address |
---|---|
Jiwon Lee, 1950 S Scenic Ave Apt A307, Springfield, MO 65807-2158 Ph: (417) 619-1658 | Jiwon Lee, 1950 S Scenic Ave Apt A307, Springfield, MO 65807-2158 Ph: (417) 619-1658 |
Ethel Marie Allison, RN, MPH, BSN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4264 Fax: 417-269-4265 | |
Jodie L Clinkenbeard, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1055 E Westchester Dr, Springfield, MO 65810 Phone: 417-877-8739 Fax: 417-877-8739 | |
Shelly Ronayne, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 | |
Nicole Kenney, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 2715 E Battlefield St, Springfield, MO 65804 Phone: 417-889-0056 | |
Mrs. Laura L Miller, CFNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 4049 S Campbell Ave, Springfield, MO 65807 Phone: 417-890-5550 Fax: 417-889-6898 | |
Morgan Trokey, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave Ste 5000, Springfield, MO 65804 Phone: 417-820-3912 | |
Sara Maples, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2626 W College Rd, Springfield, MO 65802 Phone: 417-869-8086 |