Mrs Jeri Kellett Charles, FNP | |
620 S Grove St Ste 105, Marshall, TX 75670-5295 | |
(039) 359-4419 | |
(903) 938-1246 |
Full Name | Mrs Jeri Kellett Charles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 620 S Grove St Ste 105, Marshall, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851429229 | NPI | - | NPPES |
AP113202 | Other | TX | TX LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 68260-3151 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP113202 (Texas) | Primary |
Entity Name | East Texas Border Health Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jeri Kellett Charles, FNP Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782 | Mrs Jeri Kellett Charles, FNP 620 S Grove St Ste 105, Marshall, TX 75670-5295 Ph: (039) 359-4419 |
Oteka Jackson-cenales, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 E Travis St Ste 112, Marshall, TX 75670 Phone: 318-393-5407 | |
Stephanie Sue White, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Grand Ave, Marshall, TX 75670 Phone: 903-938-7721 Fax: 903-234-1639 | |
Carla Fulgham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Alamo Blvd, Marshall, TX 75670 Phone: 903-927-2824 Fax: 903-927-2880 | |
Veronica Mccoy, R.N, M.S.N., C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Lindsey Dr, Marshall, TX 75670 Phone: 903-938-1146 Fax: 903-927-1764 | |
Jeremy Scott Utley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 Harper Dr., Marshall, TX 75672 Phone: 903-930-4102 | |
Austin B Davidson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 N Alamo Blvd, Marshall, TX 75670 Phone: 903-927-2824 Fax: 903-927-2880 | |
Dr. Britney De La Rosa, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3903 Fitzgerald St, Marshall, TX 75672 Phone: 903-934-0287 |