Jordan Tyler Blevins, FNP-C | |
415 Morris St Ste 400, Charleston, WV 25301-1854 | |
(304) 344-3551 | |
(304) 342-6927 |
Full Name | Jordan Tyler Blevins |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 415 Morris St Ste 400, Charleston, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487175436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN86857-NP-C (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital Center | Bridgeport, WV | Hospital |
St Joseph's Hospital | Buckhannon, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Hospital Center Inc | 8123936010 | 207 |
Entity Name | United Hospital Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760965586 PECOS PAC ID: 8123936010 Enrollment ID: O20031212000802 |
Mailing Address | Practice Location Address |
---|---|
Jordan Tyler Blevins, FNP-C 415 Morris St Ste 400, Charleston, WV 25301-1854 Ph: (304) 344-3551 | Jordan Tyler Blevins, FNP-C 415 Morris St Ste 400, Charleston, WV 25301-1854 Ph: (304) 344-3551 |
Stephanie Lynn Legg, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304 Phone: 681-205-8610 Fax: 681-205-8615 | |
Ms. Brenda Lou Keefer, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-3436 | |
Brenda Moody Walker, RN,MSN,CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-925-0392 Fax: 304-825-0392 | |
Janice K Kaufman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304 Phone: 304-342-1184 Fax: 304-343-8487 | |
Mrs. Cari Stover, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-205-6123 | |
Mrs. Carolyn Sue Green, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Washington St W, Charleston, WV 25302 Phone: 304-344-9834 Fax: 304-344-1756 | |
Shawnna D. Walker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Outpatient Care Center (rwp), Charleston, WV 25304 Phone: 304-388-9677 Fax: 304-388-8238 |