Ms Shara Lanecia Mcphall, PMHNP | |
1542 Kingsley Ave Ste 136, Orange Park, FL 32073-4547 | |
(239) 223-2751 | |
Not Available |
Full Name | Ms Shara Lanecia Mcphall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1542 Kingsley Ave Ste 136, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003542549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11020143 (Florida) | Primary |
Entity Name | Dna Comprehensive Therapy Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316363757 PECOS PAC ID: 2860619632 Enrollment ID: O20140819001276 |
Mailing Address | Practice Location Address |
---|---|
Ms Shara Lanecia Mcphall, PMHNP 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 Ph: (239) 236-8784 | Ms Shara Lanecia Mcphall, PMHNP 1542 Kingsley Ave Ste 136, Orange Park, FL 32073-4547 Ph: (239) 223-2751 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Devetia Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1536 Kingsley Ave Ste 117, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |