Mrs Jenell Suzanne Fitzgerald, CPNP | |
6855 Spring Valley Dr Ste 125, Holland, OH 43528-9374 | |
(419) 389-1444 | |
(419) 407-3515 |
Full Name | Mrs Jenell Suzanne Fitzgerald |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 6855 Spring Valley Dr Ste 125, Holland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255667895 | NPI | - | NPPES |
0092633 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | NP-10253 (Ohio) | Primary |
Entity Name | Northwest Pediatric Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jenell Suzanne Fitzgerald, CPNP 6855 Spring Valley Dr Ste 125, Holland, OH 43528-9374 Ph: (419) 389-1444 | Mrs Jenell Suzanne Fitzgerald, CPNP 6855 Spring Valley Dr Ste 125, Holland, OH 43528-9374 Ph: (419) 389-1444 |
Leah Meinert, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6855 Spring Valley Dr Ste 220, Holland, OH 43528 Phone: 419-389-0492 Fax: 419-407-3515 | |
Staci Crist, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6855 Spring Valley Dr Ste 110, Holland, OH 43528 Phone: 855-659-7734 | |
Brian King, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7059 Orchard Centre Dr, Holland, OH 43528 Phone: 567-297-4117 | |
Juli Ann Smelser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Eber Rd Ste F, Holland, OH 43528 Phone: 419-866-4328 | |
Arielle Michele White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7059 Orchard Centre Dr, Holland, OH 43528 Phone: 567-297-4117 | |
Jason A Rickert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1414 Spring Meadows Dr, Holland, OH 43528 Phone: 419-491-3220 Fax: 419-491-3221 | |
Diana L Messer-kruse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6135 Trust Dr, 114, Holland, OH 43528 Phone: 419-491-0041 Fax: 419-491-0042 |