| Mrs Jennifer Mach Sojourner, CFNP | |
|
104 W Railroad Ave S, Crystal Springs, MS 39059-2111 | |
| (601) 892-3063 | |
| (601) 892-3570 |
| Full Name | Mrs Jennifer Mach Sojourner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 104 W Railroad Ave S, Crystal Springs, 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 |
|---|---|---|---|
| 1679881312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R873800 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copiah County Medical Center | Hazlehurst, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Clinic Of Crystal Springs Pllc | 6002894706 | 3 |
| Entity Name | Family Medical Clinic Of Crystal Springs Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205915998 PECOS PAC ID: 6002894706 Enrollment ID: O20040709000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Mach Sojourner, CFNP 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 Ph: (601) 892-3063 | Mrs Jennifer Mach Sojourner, CFNP 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 Ph: (601) 892-3063 |
Jenna Gaddy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 W Railroad Ave S, Crystal Springs, MS 39059 Phone: 601-892-3063 Fax: 888-927-0375 | |
Ms. Leslie Ann Painter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1378 Sawmill Rd, Crystal Springs, MS 39059 Phone: 601-291-6915 | |
Alice Buckner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1435 Cherry Grove Rd, Crystal Springs, MS 39059 Phone: 601-331-0617 | |
Martha Mcgrew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 N Jackson St, Ste C, Crystal Springs, MS 39059 Phone: 601-308-5253 Fax: 601-308-5263 |