Mr Jonathan Daniel Hancock, | |
1074 Southern Ave, Fayetteville, NC 28306-1766 | |
(910) 491-4530 | |
(910) 491-6093 |
Full Name | Mr Jonathan Daniel Hancock |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 1074 Southern Ave, Fayetteville, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780816223 | NPI | - | NPPES |
5004563 | Other | NC | NC LISCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 5004563 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Simpleclinic Pllc | 2264730621 | 5 |
Entity Name | Simpleclinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164887873 PECOS PAC ID: 2264730621 Enrollment ID: O20160419000167 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan Daniel Hancock, Po Box 727, Stedman, NC 28391-0727 Ph: (910) 491-4530 | Mr Jonathan Daniel Hancock, 1074 Southern Ave, Fayetteville, NC 28306-1766 Ph: (910) 491-4530 |
Mrs. Sekeya Edreekia Durgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6244 | |
Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680 | |
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490 | |
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907 | |
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322 | |
Cheryl Norris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000 | |
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 |