| Adreia Jenice Jessop, ARNP, CNM, IBCLC | |
|
300 Oak St, Kelso, WA 98626 | |
| (360) 353-5511 | |
| (360) 353-5502 |
| Full Name | Adreia Jenice Jessop |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 9 Years |
| Location | 300 Oak St, Kelso, Washington |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972021087 | NPI | - | NPPES |
| AP60799447 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| 2105815 | Medicaid | WA | |
| RN00157790 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cowlitz Family Health Center | 5991696395 | 22 |
| Entity Name | Cowlitz Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891724506 PECOS PAC ID: 5991696395 Enrollment ID: O20040324000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Adreia Jenice Jessop, ARNP, CNM, IBCLC 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 353-5511 | Adreia Jenice Jessop, ARNP, CNM, IBCLC 300 Oak St, Kelso, WA 98626 Ph: (360) 353-5511 |
Melissa Lee, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Oak St Ste B, Kelso, WA 98626 Phone: 360-353-5511 Fax: 360-353-5502 | |
Melissa Brinkerhoff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Allen St Apt E103, Kelso, WA 98626 Phone: 360-431-4254 | |
Lisa Marie Olson, DNP, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Oak St Ste B, Kelso, WA 98626 Phone: 360-353-5511 Fax: 360-353-5502 |