| Michelle Nicola Jennings, | |
|
17674 N Litchfield Rd, Surprise, AZ 85374-2478 | |
| (623) 281-3001 | |
| (480) 906-2180 |
| Full Name | Michelle Nicola Jennings |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 17674 N Litchfield Rd, Surprise, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104334077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 20124 (Arizona) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 5010178 (North Carolina) | Secondary |
| Entity Name | Oak Street Health Physicians Group Of Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063083590 PECOS PAC ID: 3274939988 Enrollment ID: O20210903002048 |
| Entity Name | Archwell Health Professional Services Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558026880 PECOS PAC ID: 9830566199 Enrollment ID: O20221031001469 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Nicola Jennings, 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: () - | Michelle Nicola Jennings, 17674 N Litchfield Rd, Surprise, AZ 85374-2478 Ph: (623) 281-3001 |
Celine Tubillara Villariz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14973 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 623-934-1245 Fax: 623-934-3598 | |
Robert Wolfe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18761 N Reems Rd Ste 400, Surprise, AZ 85374 Phone: 623-583-9180 | |
Herlinda C Castro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 | |
Zofia Wilk, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13945 W Grand Ave Ste 105, Surprise, AZ 85374 Phone: 623-546-0007 | |
Paige Leykam, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd Ste 211, Surprise, AZ 85374 Phone: 480-428-7678 Fax: 480-569-2708 | |
Marisa Stapleton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17751 W Villa Chula Ln, Surprise, AZ 85387 Phone: 909-938-9527 | |
Catherine Lisondra Krings, MSN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13945 W Grand Ave Ste A-105, Surprise, AZ 85374 Phone: 623-546-0007 Fax: 623-584-6915 |