Tyra R Jones, CRNP | |
800 Walnut St, 11th Floor, Philadelphia, PA 19107-5176 | |
(215) 829-2345 | |
(215) 829-3365 |
Full Name | Tyra R Jones |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 800 Walnut St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336475938 | NPI | - | NPPES |
0238431 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | SP011419 (Pennsylvania) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 26NJ00260900 (New Jersey) | Primary |
Entity Name | Virtua Medical Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Entity Name | Workit Health Nj Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841833050 PECOS PAC ID: 8325477904 Enrollment ID: O20200402000833 |
Mailing Address | Practice Location Address |
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Tyra R Jones, CRNP 317 Broadway, Camden, NJ 08103-1209 Ph: (856) 365-3519 | Tyra R Jones, CRNP 800 Walnut St, 11th Floor, Philadelphia, PA 19107-5176 Ph: (215) 829-2345 |
Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454 | |
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032 | |
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891 | |
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957 | |
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340 | |
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700 | |
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304 |