Mrs Jessie Louise Criswell, CRNP | |
227 Hospital Dr, Jackson, AL 36545-2423 | |
(251) 246-4446 | |
(251) 246-5111 |
Full Name | Mrs Jessie Louise Criswell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 227 Hospital Dr, Jackson, Alabama |
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 |
---|---|---|---|
1992244206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-113971 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson Medical Center | Jackson, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ghs Jmc Clinics Llc | 6800191107 | 6 |
Entity Name | Imc Family Medical Of Jackson P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750393682 PECOS PAC ID: 4880502012 Enrollment ID: O20051130000390 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessie Louise Criswell, CRNP 227 Hospital Dr, Jackson, AL 36545-2423 Ph: (251) 246-4446 | Mrs Jessie Louise Criswell, CRNP 227 Hospital Dr, Jackson, AL 36545-2423 Ph: (251) 246-4446 |
Angela Ryser, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-9021 | |
Ms. Rene Bontrager, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1210 Fax: 251-246-1219 | |
Timothy H Mullinix, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111 | |
Linda T Reynolds, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 227 Hospital Dr, Jackson, AL 36545 Phone: 251-246-4446 Fax: 251-246-5111 | |
Shaqualyn Taite, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4005 N College Ave, Jackson, AL 36545 Phone: 251-744-6084 | |
Jennifer Tolbert Dowling, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Hospital Dr, Jackson, AL 36545 Phone: 251-246-1203 Fax: 251-246-1180 |