| Taylor Rae Park, NP | |
|
903 S State St, Jerseyville, IL 62052-2344 | |
| (618) 498-2273 | |
| (618) 639-8100 |
| Full Name | Taylor Rae Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 903 S State St, Jerseyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780454389 | NPI | - | NPPES |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Rae Park, NP 4015 Key Harbour Dr, Lake Saint Louis, MO 63367-3001 Ph: (636) 357-8982 | Taylor Rae Park, NP 903 S State St, Jerseyville, IL 62052-2344 Ph: (618) 498-2273 |
Melissa G Kulp, MS, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, E Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Ms. Ellen Edith Mouser, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-639-9952 Fax: 618-639-9955 | |
Mrs. Deborah Marie Seymour, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Tammie L Blevins, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Alexandra Irene Evans, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Amber N. Wright, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 220 E County Rd, East Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Ms. Beth Ann Dalrymple-woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-8472 Fax: 618-498-8461 |