Mrs Jessica Lynn Douglas, FNP-BC | |
289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 | |
(386) 755-1655 | |
(386) 628-9231 |
Full Name | Mrs Jessica Lynn Douglas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 289 Sw Stonegate Ter Ste 103, Lake City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811376601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9310684 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9310684 (Florida) | Primary |
Entity Name | Lake City Cancer Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396132213 PECOS PAC ID: 7315250685 Enrollment ID: O20150715000887 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Lynn Douglas, FNP-BC 104 Woodmont Blvd Ste 500, Nashville, TN 37205-2245 Ph: (559) 475-4151 | Mrs Jessica Lynn Douglas, FNP-BC 289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 Ph: (386) 755-1655 |
Mrs. Heather Langston Finnell, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 W Duval St, Lake City, FL 32055 Phone: 386-755-3300 Fax: 386-755-8595 | |
Delanie Sharpe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3140 Nw Medical Center Ln Ste 140, Lake City, FL 32055 Phone: 386-438-5095 | |
Ms. Ester Llarinas Gamboa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6456 | |
Jan Kenneth Gonzales, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4251 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6143 | |
Ms. Lindsay Campbell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 South Marion Avenue 11 Fa, Department Of Veterans Affairs Medical Center, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-254-6456 | |
Samantha Lawrence, ARNP, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 32025 Phone: 386-719-6500 | |
Elaina Williamson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Nw Hall Of Fame Dr, Lake City, FL 32055 Phone: 386-719-2540 |