Miss Jacquelene Lynnette Vargas, FNP-C | |
794 S Park St, Carrollton, GA 30117-3826 | |
(404) 948-3019 | |
Not Available |
Full Name | Miss Jacquelene Lynnette Vargas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 794 S Park St, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659084366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN276379 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN276379 (Georgia) | Primary |
Entity Name | Piedmont Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187 |
Entity Name | One Stop Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790098457 PECOS PAC ID: 6709942170 Enrollment ID: O20110204000204 |
Mailing Address | Practice Location Address |
---|---|
Miss Jacquelene Lynnette Vargas, FNP-C 641 North Ave Ne Apt 3119, Atlanta, GA 30308-3068 Ph: (708) 207-1531 | Miss Jacquelene Lynnette Vargas, FNP-C 794 S Park St, Carrollton, GA 30117-3826 Ph: (404) 948-3019 |
Sheila Reece Walls, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117 Phone: 770-836-0103 Fax: 770-834-8828 | |
Latoya Pulliam Bexley, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Emilia Grace Janney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 527 Tanner St, Carrollton, GA 30117 Phone: 770-537-1234 Fax: 770-537-1237 | |
Mr. Matthew Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Ronda S Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-838-8824 Fax: 770-838-8922 | |
Amy Hicks, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Rome St, Carrollton, GA 30117 Phone: 404-301-4042 | |
Stephanie Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117 Phone: 770-214-2121 |