Tiffany Mercedes Connors, APRN | |
2310 Village Square Pkwy Ste 106a, Fleming Island, FL 32003-6409 | |
(904) 202-7300 | |
(904) 202-7433 |
Full Name | Tiffany Mercedes Connors |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2310 Village Square Pkwy Ste 106a, Fleming Island, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518445667 | NPI | - | NPPES |
8M6RY | Other | FL | FL BLUE |
PO094 | Other | FL | MEDICARE |
115804500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN9281020 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN9281020 (Florida) | Primary |
Entity Name | Cancer Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Mercedes Connors, APRN Po Box 746654, Atlanta, GA 30374-6654 Ph: (904) 202-2092 | Tiffany Mercedes Connors, APRN 2310 Village Square Pkwy Ste 106a, Fleming Island, FL 32003-6409 Ph: (904) 202-7300 |
Mr. Jeffrey Ludan Vongjesda, MS, ARNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597 | |
Dian S Trent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003 Phone: 904-264-1204 Fax: 904-264-1227 | |
Mrs. Kimberly Simon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 202, Fleming Island, FL 32003 Phone: 904-516-1880 Fax: 904-516-1885 | |
Vanessa Brown, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1766 Long Slough Walk, Fleming Island, FL 32003 Phone: 904-400-4315 | |
Brenda Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Marsh Hawk Ln Unit 101, Fleming Island, FL 32003 Phone: 786-426-7972 | |
Saphina Williams, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003 Phone: 904-269-6526 Fax: 904-269-6527 | |
Mr. Scott Alan Shirley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003 Phone: 904-886-9686 Fax: 904-253-6964 |