Kristopher E Nelson, NURSE PRACTITIONER | |
207 Foote Ave, Jamestown, NY 14701-7077 | |
(716) 450-0863 | |
Not Available |
Full Name | Kristopher E Nelson |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 207 Foote Ave, Jamestown, 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 |
---|---|---|---|
1346939998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 351494 (New York) | Primary |
Entity Name | Great Lakes Physician Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
Mailing Address | Practice Location Address |
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Kristopher E Nelson, NURSE PRACTITIONER 207 Foote Ave, Jamestown, NY 14701-7077 Ph: (716) 450-0863 | Kristopher E Nelson, NURSE PRACTITIONER 207 Foote Ave, Jamestown, NY 14701-7077 Ph: (716) 450-0863 |
Jessie Blair Rink, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 320 Prather Ave, Suite Number 1, Jamestown, NY 14701 Phone: 716-488-1200 | |
Debra B Daniels, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 774 Fairmount Ave, Jamestown, NY 14701 Phone: 716-708-6578 | |
Shirley J Swenson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 S Main St, Suite 160, Jamestown, NY 14701 Phone: 716-484-7107 Fax: 716-664-2500 | |
Jessica Currie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Foote Ave, Jamestown, NY 14701 Phone: 716-366-7150 | |
Mary Jill Vaillancourt, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Institute St, Jamestown, NY 14701 Phone: 716-484-4334 Fax: 833-974-2029 | |
Mrs. Charlene Swift Carter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 E 4th St, Jamestown, NY 14701 Phone: 716-661-8111 | |
Jenna M Ring, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 150, Jamestown, NY 14701 Phone: 716-488-0232 |