Ms Jennifer Joy Gillespie, NP | |
206 S Union St, Kokomo, IN 46901-4606 | |
(765) 457-4673 | |
Not Available |
Full Name | Ms Jennifer Joy Gillespie |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 206 S Union St, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346202629 | NPI | - | NPPES |
200475100 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71001719A (Indiana) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 71001719A (Indiana) | Secondary |
Entity Name | Healogics Specialty Physicians Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396145975 PECOS PAC ID: 3678874567 Enrollment ID: O20151218000074 |
Mailing Address | Practice Location Address |
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Ms Jennifer Joy Gillespie, NP 8840 Commerce Park Pl Ste E, Indianapolis, IN 46268-3129 Ph: () - | Ms Jennifer Joy Gillespie, NP 206 S Union St, Kokomo, IN 46901-4606 Ph: (765) 457-4673 |
Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637 | |
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487 | |
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900 | |
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732 | |
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160 |