Ms Jelya Ingrid Fatawu, PMHMP-BC | |
4 Liberty Grove Ct, Wentzville, MO 63385-7188 | |
(216) 246-5697 | |
Not Available |
Full Name | Ms Jelya Ingrid Fatawu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4 Liberty Grove Ct, Wentzville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184331902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2022035166 (Missouri) | Primary |
Entity Name | Med Management Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942800859 PECOS PAC ID: 8325459159 Enrollment ID: O20220428001894 |
Mailing Address | Practice Location Address |
---|---|
Ms Jelya Ingrid Fatawu, PMHMP-BC 4 Liberty Grove Ct, Wentzville, MO 63385-7188 Ph: () - | Ms Jelya Ingrid Fatawu, PMHMP-BC 4 Liberty Grove Ct, Wentzville, MO 63385-7188 Ph: (216) 246-5697 |
Ebitari 0 Fregene, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219 | |
Sally Ann Breen, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-856-5362 | |
Jordan Lee Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Dr, Wentzville, MO 63385 Phone: 636-625-5200 | |
Eileen Royal, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1890 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-887-2667 | |
Monica Washburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy, Wentzville, MO 63385 Phone: 844-776-7200 | |
Elizabeth Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-3020 Fax: 636-887-3022 | |
Abigail Marie Anderson Schroer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228 |