Mrs Miranda Jo Jewell, APRN | |
301 Professional Park Dr, Glasgow, KY 42141-3487 | |
(270) 651-9696 | |
(270) 651-0385 |
Full Name | Mrs Miranda Jo Jewell |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 301 Professional Park Dr, Glasgow, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437678810 | NPI | - | NPPES |
3011720 | Other | KY | KENTUCKY MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 3011720 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
---|---|
Mrs Miranda Jo Jewell, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6644 | Mrs Miranda Jo Jewell, APRN 301 Professional Park Dr, Glasgow, KY 42141-3487 Ph: (270) 651-9696 |
Mr. James Isenberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Professional Park Dr, Glasgow, KY 42141 Phone: 270-392-3661 Fax: 580-297-9310 | |
Mrs. Britney M. Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Physicians Blvd Ste B, Glasgow, KY 42141 Phone: 270-629-6722 Fax: 270-629-6723 | |
Taryn Alycia Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4444 | |
Mrs. Beverly Jo Mortimer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 N Race St, Glasgow, KY 42141 Phone: 270-629-5111 Fax: 270-783-3760 | |
Mr. Michael L Pendleton Sr., APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1412 N Race St, Glasgow, KY 42141 Phone: 270-629-6333 Fax: 270-629-6334 | |
Tarah Jo Mathews, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Broadway St, Glasgow, KY 42141 Phone: 270-861-0606 Fax: 270-629-2444 | |
Mrs. Kimberly A Bowman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-1888 Fax: 270-651-1889 |