| Jencare Neighborhood Medical - Norfolk | |
|
549 E Brambleton Ave Norfolk VA 23510-2915 | |
| (757) 533-9441 | |
| Not Available |
| Full Name | Jencare Neighborhood Medical - Norfolk |
|---|---|
| Speciality | Internal Medicine |
| Location | 549 E Brambleton Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Daniella Houston (CREDENTIALING) |
| Authorized Official Contact | 3056286117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jencare Neighborhood Medical - Norfolk 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 | Jencare Neighborhood Medical - Norfolk 549 E Brambleton Ave Norfolk VA 23510-2915 Ph: (757) 533-9441 |
| NPI Number | 1184918864 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 8820268477 |
|---|---|
| Medicare Enrollment ID | O20110908002311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184918864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Maryam M Nowroozi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306807201 PECOS PAC ID: 3274555149 Enrollment ID: I20051221000030 |
| Provider Name | Daniel F Mccarter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932278561 PECOS PAC ID: 0143238642 Enrollment ID: I20060324000355 |
| Provider Name | Lisa E Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578502969 PECOS PAC ID: 9335240316 Enrollment ID: I20070720000148 |
| Provider Name | Lisa Price Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063488807 PECOS PAC ID: 6204924996 Enrollment ID: I20071113000786 |
| Provider Name | Dana Jean Keys Frezzell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215934906 PECOS PAC ID: 0143209569 Enrollment ID: I20071113000796 |
| Provider Name | Ian Persaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770761793 PECOS PAC ID: 7618112186 Enrollment ID: I20130404000284 |
| Provider Name | Nakeisha R Rodgers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679880843 PECOS PAC ID: 1355563677 Enrollment ID: I20141120001496 |
| Provider Name | Aleea Saffiyah Maye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013207166 PECOS PAC ID: 2961708896 Enrollment ID: I20170306001823 |
| Provider Name | Barry Chance Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194796136 PECOS PAC ID: 5890926687 Enrollment ID: I20180906001871 |
| Provider Name | Cheryll Nicolette Cash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326276452 PECOS PAC ID: 4587886668 Enrollment ID: I20190916001966 |
| Provider Name | Yu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396193090 PECOS PAC ID: 8224328018 Enrollment ID: I20200417000713 |
| Provider Name | Marichu M Balmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104857366 PECOS PAC ID: 3779646567 Enrollment ID: I20200608002085 |
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