| Jennifer B Warren, FNP-C | |
|
3495 Cobblestone Blvd S, Southaven, MS 38672-7075 | |
| (662) 892-2885 | |
| (662) 890-1551 |
| Full Name | Jennifer B Warren |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 3495 Cobblestone Blvd S, Southaven, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174872626 | NPI | - | NPPES |
| 01028095 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R879367 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R879367 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Baptist Home Care And Hospice North Mississippi | Batesville, MS | Home health agency |
| Sunflower Home Health | Cleveland, MS | Home health agency |
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Clinic Of North Ms Inc | 5294790861 | 13 |
| Entity Name | Family Medical Clinic Of North Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134174154 PECOS PAC ID: 5294790861 Enrollment ID: O20041123000266 |
| Entity Name | Desoto Family Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376143024 PECOS PAC ID: 2264845973 Enrollment ID: O20210119000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer B Warren, FNP-C 3495 Cobblestone Blvd S, Southaven, MS 38672-7075 Ph: (662) 892-2885 | Jennifer B Warren, FNP-C 3495 Cobblestone Blvd S, Southaven, MS 38672-7075 Ph: (662) 892-2885 |