Linda Sue Theuerkorn, NP | |
1658 St Vincents Way Ste 230, Middleburg, FL 32068-8459 | |
(904) 214-8050 | |
(904) 214-8051 |
Full Name | Linda Sue Theuerkorn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1658 St Vincents Way Ste 230, Middleburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144506379 | NPI | - | NPPES |
108690200 | Medicaid | FL | |
IXKEM | Other | FL | FL BLUE |
M9629 | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | APRN11006915 (Florida) | Primary |
363L00000X | Nurse Practitioner | 5007114 (North Carolina) | Secondary |
Entity Name | Cancer Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454 |
Mailing Address | Practice Location Address |
---|---|
Linda Sue Theuerkorn, NP 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113 | Linda Sue Theuerkorn, NP 1658 St Vincents Way Ste 230, Middleburg, FL 32068-8459 Ph: (904) 214-8050 |
Veronica Shahan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1861 Penzance Pkwy, Middleburg, FL 32068 Phone: 706-248-3433 | |
Sonja Attebery, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1354 Camp Ridge Ln, Middleburg, FL 32068 Phone: 904-813-1411 | |
Breana Marie Matzen, CNM, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1658 St Vincents Way, Suite 130, Middleburg, FL 32068 Phone: 904-264-1628 Fax: 904-264-8386 | |
Christin Delaney, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 974 Sunny Stroll Dr, Middleburg, FL 32068 Phone: 850-319-1491 | |
Tera Daniells Maple, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1658 St Vincents Way Ste 100, Middleburg, FL 32068 Phone: 904-602-4311 Fax: 904-354-1340 | |
Kristin Steed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1811 Blanding Blvd Ste 101, Middleburg, FL 32068 Phone: 904-406-0514 Fax: 904-406-0654 | |
Jenny Jean Gregory, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3571 County Road 218, Middleburg, FL 32068 Phone: 904-504-3034 |