| Amber Jude, | |
|
314 Goff Mountain Rd Ste 3, Cross Lanes, WV 25313-6600 | |
| (304) 388-7070 | |
| Not Available |
| Full Name | Amber Jude |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 314 Goff Mountain Rd Ste 3, Cross Lanes, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356113658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 86048 (West Virginia) | Primary |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | St. Mary's Medical Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Jude, 314 Goff Mountain Rd Ste 3, Cross Lanes, WV 25313-6600 Ph: (304) 388-7070 | Amber Jude, 314 Goff Mountain Rd Ste 3, Cross Lanes, WV 25313-6600 Ph: (304) 388-7070 |
Mrs. Caitlin Preece, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 Goff Mountain Rd Ste 3, Cross Lanes, WV 25313 Phone: 304-388-7070 | |
Derek Kyle Lester, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Goff Mountain Rd, Cross Lanes, WV 25313 Phone: 304-388-7070 | |
Megan Fernandez, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 Cross Lanes Dr, Cross Lanes, WV 25313 Phone: 304-776-9872 | |
Jessica Toath-callahan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5161 Washington St W, Cross Lanes, WV 25313 Phone: 304-722-7600 | |
Tammy Franklin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 924 Cross Lanes Dr, Cross Lanes, WV 25313 Phone: 304-776-9872 Fax: 304-204-2385 | |
Ms. Teresa Sue Calhoun, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Goff Mountain Rd, Cross Lanes, WV 25313 Phone: 304-776-4453 Fax: 304-776-4456 |