Sheeja Jacob, APRN | |
2801 13th St, Saint Cloud, FL 34769-4134 | |
(407) 483-3571 | |
Not Available |
Full Name | Sheeja Jacob |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2801 13th St, Saint Cloud, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174100556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | APRN11012005 (Florida) | Primary |
Entity Name | Mango Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912570987 PECOS PAC ID: 9931507266 Enrollment ID: O20211018000865 |
Mailing Address | Practice Location Address |
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Sheeja Jacob, APRN 3744 Marietta Way, Saint Cloud, FL 34772-8710 Ph: (407) 520-9377 | Sheeja Jacob, APRN 2801 13th St, Saint Cloud, FL 34769-4134 Ph: (407) 483-3571 |
Lynette Whaley Bryant, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 17th St Ste A, Saint Cloud, FL 34769 Phone: 407-892-0009 | |
Lorraine Ann Wesenberg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Yellow Brick Rd, Saint Cloud, FL 34772 Phone: 888-646-2273 | |
Vera Lee Ahmad, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1417 Hamlin Ave Unit F, Saint Cloud, FL 34771 Phone: 800-925-1840 Fax: 800-521-9406 | |
Betty Tello, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2013 Live Oak Blvd Ste C, Saint Cloud, FL 34771 Phone: 407-593-2388 Fax: 407-593-2392 | |
Libby Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769 Phone: 407-743-9373 | |
Dr. Mariela Diaz Alonso, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 689-588-5588 | |
Cassidy Donnarumma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1847 Westerham Ave, Saint Cloud, FL 34771 Phone: 732-535-3430 |