Mrs Jennifer Lee Goss, FNP | |
1117 Sunset Dr, Suite 104, Grenada, MS 38901-4080 | |
(662) 226-0110 | |
(662) 226-3700 |
Full Name | Mrs Jennifer Lee Goss |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1117 Sunset Dr, Grenada, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548608128 | NPI | - | NPPES |
07501378 | Medicaid | MS | |
C03154 | Other | MS | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R875035 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sunflower Home Health | Cleveland, MS | Home health agency |
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Greenwood Leflore Hospital | Greenwood, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Health Clinic Of Grenada | 9234107517 | 2 |
Entity Name | Family Health Clinic Of Grenada |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144400607 PECOS PAC ID: 9234107517 Enrollment ID: O20040923000947 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Lee Goss, FNP 1117 Sunset Dr, Suite 104, Grenada, MS 38901-4080 Ph: (662) 226-0110 | Mrs Jennifer Lee Goss, FNP 1117 Sunset Dr, Suite 104, Grenada, MS 38901-4080 Ph: (662) 226-0110 |
Kelsey Marter Faulkner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Avent Dr, Grenada, MS 38901 Phone: 601-815-2005 | |
Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929 | |
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419 | |
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-349-2442 Fax: 662-349-8551 | |
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740 | |
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110 | |
Ralph T Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104 |