| Breanna Blackledge, | |
|
61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | |
| (386) 586-1955 | |
| (386) 586-1959 |
| Full Name | Breanna Blackledge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, Florida |
| 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 |
|---|---|---|---|
| 1770434524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11044029 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Palm Coast | Palm coast, FL | Hospital |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Blackledge, 770 W Granada Blvd Ste 101, Ormond Beach, FL 32174-5179 Ph: (386) 231-4519 | Breanna Blackledge, 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 Ph: (386) 586-1955 |
Ashley Nicole Briggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Pinnacles Dr Ste 1, Palm Coast, FL 32164 Phone: 386-231-6549 Fax: 386-231-6550 |
Matthew Jurdak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Waverly Ln, Palm Coast, FL 32164 Phone: 718-608-5614 |
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861 |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333 |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373 |
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811 |
Traci Serrano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720 |