Mrs Mallory Ann Shepkosky, APRN, FNP-C | |
2100 Nebraska Ave Ste 201, Fort Pierce, FL 34950-4832 | |
(772) 465-8100 | |
Not Available |
Full Name | Mrs Mallory Ann Shepkosky |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2100 Nebraska Ave Ste 201, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235806019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11013690 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 11013690 (Florida) | Primary |
Entity Name | Lawnwood Cardiovascular Surgery Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386724169 PECOS PAC ID: 7214937598 Enrollment ID: O20070110000554 |
Mailing Address | Practice Location Address |
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Mrs Mallory Ann Shepkosky, APRN, FNP-C 5510 Myrtle Dr, Fort Pierce, FL 34982-3885 Ph: () - | Mrs Mallory Ann Shepkosky, APRN, FNP-C 2100 Nebraska Ave Ste 201, Fort Pierce, FL 34950-4832 Ph: (772) 465-8100 |
Ms. Kelli Kraaz, ARNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946 Phone: 772-528-5991 | |
Arielle Tango, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801 | |
Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410 | |
Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420 | |
Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983 | |
Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033 | |
Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 |