Ms Jentry Cora Mckell, FNP-C | |
691 E 400 N Ste 110, Vineyard, UT 84059-7509 | |
(385) 203-0246 | |
(385) 203-0245 |
Full Name | Ms Jentry Cora Mckell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 691 E 400 N Ste 110, Vineyard, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508460841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7684329-4405 (Utah) | Primary |
Entity Name | Southwest Spine And Pain Care Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144509985 PECOS PAC ID: 6406020049 Enrollment ID: O20111117000308 |
Entity Name | Alberto Souza Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972141588 PECOS PAC ID: 1254766371 Enrollment ID: O20200120000856 |
Mailing Address | Practice Location Address |
---|---|
Ms Jentry Cora Mckell, FNP-C 1664 S Dixie Dr Ste E102, St George, UT 84770-7329 Ph: (435) 703-9647 | Ms Jentry Cora Mckell, FNP-C 691 E 400 N Ste 110, Vineyard, UT 84059-7509 Ph: (385) 203-0246 |
Edward Parry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste. 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 | |
Trisha D Evans, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 S Samara St, Vineyard, UT 84059 Phone: 925-918-1354 Fax: 801-810-1018 | |
Brett Wheatfill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 Fax: 385-203-0245 | |
Sadie Lynn Lemmon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 W 630 N, Vineyard, UT 84059 Phone: 801-227-4814 | |
Rebecca Ann Waite, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 | |
Daniel Lewis Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste. 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 |