Renitra Jackson, FNP | |
472 N Highway 67 St, Florissant, MO 63031-5102 | |
(314) 343-5061 | |
(314) 334-7465 |
Full Name | Renitra Jackson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 472 N Highway 67 St, Florissant, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144399270 | NPI | - | NPPES |
1144399270 | Medicaid | IL | |
1144399270 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2000164715 (Missouri) | Primary |
Entity Name | American Multispecialty Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972559532 PECOS PAC ID: 1658365572 Enrollment ID: O20040413001412 |
Mailing Address | Practice Location Address |
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Renitra Jackson, FNP Po Box 740019, Atlanta, GA 30374-0019 Ph: () - | Renitra Jackson, FNP 472 N Highway 67 St, Florissant, MO 63031-5102 Ph: (314) 343-5061 |
Mrs. Christine Ann Testa, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031 Phone: 314-953-6300 Fax: 314-953-6309 | |
Ms. Laura M Gramolino, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6994 | |
Rachel Ann Sappington, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2137 Charbonier Rd Ste B, Florissant, MO 63031 Phone: 314-831-0181 Fax: 314-831-4471 | |
Katie Ann Arter, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd Ste C-2310, Florissant, MO 63031 Phone: 314-953-6300 | |
Maggie Lewis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3433 N Hwy 67, Florissant, MO 63033 Phone: 314-755-1822 | |
Kimberly Ann Deptula, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Howdershell Rd, Florissant, MO 63031 Phone: 314-687-2727 Fax: 314-687-2672 | |
Nicole A Phillips, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2535 Dresden Dr, Florissant, MO 63033 Phone: 314-422-9454 |