Jordan W Warren, APRN | |
137 Lancaster St, Crab Orchard, KY 40419-9628 | |
(270) 858-6655 | |
Not Available |
Full Name | Jordan W Warren |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 137 Lancaster St, Crab Orchard, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033842380 | NPI | - | NPPES |
7100829030 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 015970 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
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Jordan W Warren, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Jordan W Warren, APRN 137 Lancaster St, Crab Orchard, KY 40419-9628 Ph: (270) 858-6655 |
Ruth H. Nelson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 Main Street, Crab Orchard, KY 40419 Phone: 606-355-7800 Fax: 606-355-7803 | |
Heather Jones Adams, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Main St, Crab Orchard, KY 40419 Phone: 606-355-7800 | |
Mrs. Jennifer P Griffin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 Lancaster St, Crab Orchard, KY 40419 Phone: 844-435-0900 Fax: 270-858-4029 | |
Leslie Renee' Mcqueen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 613 Main St, Crab Orchard, KY 40419 Phone: 606-370-4011 Fax: 606-370-4012 |