Mrs Jessica St John, | |
303 N 7th St, Kentland, IN 47951-1379 | |
(219) 474-5464 | |
Not Available |
Full Name | Mrs Jessica St John |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 303 N 7th St, Kentland, Indiana |
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 |
---|---|---|---|
1609279249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71005144A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | New Horizon Family Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205949757 PECOS PAC ID: 8224949698 Enrollment ID: O20031106000211 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica St John, 300 E Mcbee Ave Ste 401, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Mrs Jessica St John, 303 N 7th St, Kentland, IN 47951-1379 Ph: (219) 474-5464 |
Deborah L Morgan, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 N 7th St, Kentland, IN 47951 Phone: 219-474-5464 Fax: 219-474-3603 | |
Colleen Henderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 N 7th St, Kentland, IN 47951 Phone: 219-474-5464 |