Juliette Grant Blount, NP | |
89-56 162nd Street, Jamaica, NY 11432 | |
(347) 505-7000 | |
Not Available |
Full Name | Juliette Grant Blount |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 89-56 162nd Street, Jamaica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578683587 | NPI | - | NPPES |
02396174 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 424450 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | F303578 (New York) | Primary |
Entity Name | Juno Medical Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558992206 PECOS PAC ID: 1254762958 Enrollment ID: O20200513001961 |
Mailing Address | Practice Location Address |
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Juliette Grant Blount, NP 89-56 162nd Street, Jamaica, NY 11432-2392 Ph: (718) 657-1100 | Juliette Grant Blount, NP 89-56 162nd Street, Jamaica, NY 11432 Ph: (347) 505-7000 |
Mary Clancy, PA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jhmc Er, Jamaica, NY 11418 Phone: 718-206-6000 | |
Miss Carol M Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18716 Hillside Ave, Jamaica, NY 11432 Phone: 718-206-1288 Fax: 718-206-1289 | |
Mrs. Emilia Ureh Nwachukwu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14442 175th St, Jamaica, NY 11434 Phone: 718-525-7845 | |
Obioma Onah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21726 106th Ave, Jamaica, NY 11429 Phone: 347-393-5187 | |
Ms. Aliyamma Samuel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82-68 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Immacula Samson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3226 | |
Jessica Obidimalor, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165-17 145th Road, Jamaica, NY 11434 Phone: 347-570-5153 |