Mrs Jennifer Sheila Ponce Demaree, APRN, FNP | |
12131 Carson St, Hawaiian Gardens, CA 90716-1154 | |
(562) 809-0299 | |
Not Available |
Full Name | Mrs Jennifer Sheila Ponce Demaree |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12131 Carson St, Hawaiian Gardens, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518650605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95025434 (California) | Primary |
Entity Name | Prohealth Partners, A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
Mailing Address | Practice Location Address |
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Mrs Jennifer Sheila Ponce Demaree, APRN, FNP 12131 Carson St, Hawaiian Gardens, CA 90716-1154 Ph: (562) 809-0299 | Mrs Jennifer Sheila Ponce Demaree, APRN, FNP 12131 Carson St, Hawaiian Gardens, CA 90716-1154 Ph: (562) 809-0299 |
Yvette Denise Holman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21500 Pioneer Blvd, Hawaiian Gardens, CA 90716 Phone: 855-845-6291 | |
Stacey Mah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22310 Wardham Ave, Hawaiian Gardens, CA 90716 Phone: 562-928-9600 | |
Frances Abigail Perez Malantic, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12131 Carson St, Hawaiian Gardens, CA 90716 Phone: 562-809-0299 |