John Clancy, FNP | |
3877 Alta Loma Dr, Jamul, CA 91935-1706 | |
(619) 354-9553 | |
Not Available |
Full Name | John Clancy |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3877 Alta Loma Dr, Jamul, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508573940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | X (California) | Primary |
Entity Name | Rancho Santa Fe Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629117809 PECOS PAC ID: 8729971346 Enrollment ID: O20050726001154 |
Entity Name | Vhc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306582119 PECOS PAC ID: 8628450749 Enrollment ID: O20220804003468 |
Mailing Address | Practice Location Address |
---|---|
John Clancy, FNP 3877 Alta Loma Dr, Jamul, CA 91935-1706 Ph: (619) 354-9553 | John Clancy, FNP 3877 Alta Loma Dr, Jamul, CA 91935-1706 Ph: (619) 354-9553 |
Wendy M Alva, CPNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2845 Echo Valley Rd, Jamul, CA 91935 Phone: 619-318-1890 | |
Annette Ramos-haggan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3255 Loma Vista Dr, Jamul, CA 91935 Phone: 619-933-5058 |