Ms Jerryl Mcgowan Collins, | |
411 Oak Street, Richton, MS 39476 | |
(601) 408-0719 | |
Not Available |
Full Name | Ms Jerryl Mcgowan Collins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 411 Oak Street, Richton, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437819513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 904792 (Mississippi) | Primary |
Entity Name | Molina Healthcare Of Washington Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912235060 PECOS PAC ID: 1850427527 Enrollment ID: O20100405000336 |
Mailing Address | Practice Location Address |
---|---|
Ms Jerryl Mcgowan Collins, 71 Cross Creek Rd., Hattieburg, MS 39402 Ph: (601) 596-2523 | Ms Jerryl Mcgowan Collins, 411 Oak Street, Richton, MS 39476 Ph: (601) 408-0719 |
Ms. Janell G Carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Bay Ave, Richton, MS 39476 Phone: 601-788-6316 Fax: 601-788-2230 | |
Jillian Christina Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 91570 Highway 42, Richton, MS 39476 Phone: 601-791-2101 | |
Crystal Dale Grantham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Bay Ave, Richton, MS 39476 Phone: 601-788-9222 Fax: 601-788-6318 | |
Angela Denise Haigler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Highway 15 S, Richton, MS 39476 Phone: 601-319-7660 | |
Mr. James Sawyer Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Bay Ave, Richton, MS 39476 Phone: 601-788-9222 | |
Victoria Rachelle Owens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Oak St, Richton, MS 39476 Phone: 601-408-0719 |