Jordan Knowlton, | |
1600 Sw Archer Rd # 100371, Gainesville, FL 32610-3003 | |
(352) 265-7080 | |
Not Available |
Full Name | Jordan Knowlton |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1600 Sw Archer Rd # 100371, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770997306 | NPI | - | NPPES |
012456000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP9299184 (Florida) | Primary |
Entity Name | Mary Washington Healthcare Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
Mailing Address | Practice Location Address |
---|---|
Jordan Knowlton, Po Box 13833, Philadelphia, PA 19101-3833 Ph: (352) 265-7080 | Jordan Knowlton, 1600 Sw Archer Rd # 100371, Gainesville, FL 32610-3003 Ph: (352) 265-7080 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Cammie Foresha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1809 Nw 39th Ave, Gainesville, FL 32605 Phone: 225-588-6225 | |
Ms. Stephani C Lowery, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0761 |