| Angelique Lavonne Bishop, APRN-CNP | |
|
1038 Early Blvd, Early, TX 76802-2211 | |
| (325) 646-4800 | |
| Not Available |
| Full Name | Angelique Lavonne Bishop |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1038 Early Blvd, Early, Texas |
| 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 |
|---|---|---|---|
| 1104415454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1018731 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brownwood Regional Medical Center | Brownwood, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wiseman Family Practice Pllc | 9739491564 | 27 |
| Entity Name | Wiseman Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598195042 PECOS PAC ID: 9739491564 Enrollment ID: O20150707002742 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique Lavonne Bishop, APRN-CNP 4101 County Road 139, Bangs, TX 76823-3822 Ph: (325) 998-1119 | Angelique Lavonne Bishop, APRN-CNP 1038 Early Blvd, Early, TX 76802-2211 Ph: (325) 646-4800 |
Cheyenne Musick, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 E River Oaks Rd, Early, TX 76802 Phone: 132-642-9926 | |
Taylor Reynolds, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1038 Early Blvd, Early, TX 76802 Phone: 325-646-4800 | |
Mrs. Amanda Gentry, APRN-FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 Early Blvd Ste 200, Early, TX 76802 Phone: 325-430-0000 |