| Julie Crouse, NP | |
|
1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | |
| (707) 428-4878 | |
| Not Available |
| Full Name | Julie Crouse |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Emergency |
| Location | 1620 Pennsylvania Ave Ste C, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457988016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95014293 (California) | Secondary |
| 163WE0003X | Registered Nurse - Emergency | 358485 (California) | Primary |
| Entity Name | Jiva Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285223552 PECOS PAC ID: 5092115105 Enrollment ID: O20210610003376 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Crouse, NP 3157 Diablo View Rd, Lafayette, CA 94549-2202 Ph: (925) 239-6204 | Julie Crouse, NP 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 Ph: (707) 428-4878 |
Ms. Jennifer Ruth Pettibone, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Ms-10-200, Fairfield, CA 94533 Phone: 707-784-2154 | |
Malissa Blair, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-750-3000 | |
Alison Legler-hauck, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-639-4675 | |
Lyn Green, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2700 Low Ct Fl 2, Fairfield, CA 94534 Phone: 707-432-2700 | |
John Parker Ward, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-0802 Fax: 707-425-4014 | |
Lauren Carrizosa, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-428-1131 | |
Priyanka Das, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4704 Branding Iron Dr, Fairfield, CA 94534 Phone: 714-930-3296 |