Jacquetta Garris, NP | |
505 S Independence Blvd, Virginia Bch, VA 23452-1150 | |
(757) 490-6483 | |
Not Available |
Full Name | Jacquetta Garris |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 505 S Independence Blvd, Virginia Bch, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265069504 | NPI | - | NPPES |
Entity Name | Transformation Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508373812 PECOS PAC ID: 2567795628 Enrollment ID: O20190605002280 |
Mailing Address | Practice Location Address |
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Jacquetta Garris, NP 2827 Victoria Ave, Norfolk, VA 23504-4523 Ph: (757) 718-2175 | Jacquetta Garris, NP 505 S Independence Blvd, Virginia Bch, VA 23452-1150 Ph: (757) 490-6483 |
Cheryl Annette Segal, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 297 Independence Blvd, 126, Virginia Bch, VA 23462 Phone: 757-385-0511 Fax: 757-743-5161 | |
Deanna Lyn Robin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3960 Virginia Beach Blvd, Virginia Bch, VA 23452 Phone: 757-668-4648 | |
Rosalee Ruiz Javier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Bch, VA 23456 Phone: 757-553-0470 |