Mrs Porsche Tiasha Orange-johnson, FAMILY NURSE PRACTIT | |
2108 Screven Ave, Waycross, GA 31501-6047 | |
(912) 816-3206 | |
Not Available |
Full Name | Mrs Porsche Tiasha Orange-johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2108 Screven Ave, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982327730 | NPI | - | NPPES |
RN260788 | Other | GA | FAMILY NURSE PRACTITIONER |
RN260788 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN260788 (Georgia) | Primary |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
Mailing Address | Practice Location Address |
---|---|
Mrs Porsche Tiasha Orange-johnson, FAMILY NURSE PRACTIT 2108 Screven Ave, Waycross, GA 31501-6047 Ph: (912) 816-3206 | Mrs Porsche Tiasha Orange-johnson, FAMILY NURSE PRACTIT 2108 Screven Ave, Waycross, GA 31501-6047 Ph: (912) 816-3206 |
Barbara D Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 Fax: 912-548-0071 | |
Robert Scott Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403a Lister St, Waycross, GA 31501 Phone: 912-283-4422 Fax: 912-283-4866 | |
Mr. James Aaron Houser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1206 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125 | |
Dawn Lynn Driggers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 1/2 Alice St, Waycross, GA 31501 Phone: 912-614-3768 | |
Kala Hodges, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 229-391-3500 | |
Ms. Andrea M Deloach, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-2946 | |
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 |