Valerie Johnson, NURSE PRACTITIONER | |
117 W Sycamore St, Kokomo, IN 46901-4634 | |
(765) 854-2440 | |
(765) 854-2450 |
Full Name | Valerie Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 117 W Sycamore St, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629227434 | NPI | - | NPPES |
200919480 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71002727 (Indiana) | Primary |
Entity Name | Fast Pace Medical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
Mailing Address | Practice Location Address |
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Valerie Johnson, NURSE PRACTITIONER 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | Valerie Johnson, NURSE PRACTITIONER 117 W Sycamore St, Kokomo, IN 46901-4634 Ph: (765) 854-2440 |
Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637 | |
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487 | |
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900 | |
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732 | |
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160 |