| Dajah Souife, CRNP | |
|
121 Continental Dr Apt 219, Madison, AL 35758-4800 | |
| (504) 442-0324 | |
| Not Available |
| Full Name | Dajah Souife |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 121 Continental Dr Apt 219, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053917856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-156220 (Alabama) | Primary |
| Entity Name | Innova Primary Care, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689954240 PECOS PAC ID: 4688845571 Enrollment ID: O20110926000750 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Dajah Souife, CRNP 121 Continental Dr Apt 219, Madison, AL 35758-4800 Ph: (504) 442-0324 | Dajah Souife, CRNP 121 Continental Dr Apt 219, Madison, AL 35758-4800 Ph: (504) 442-0324 |
Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334 |
Mae Hill, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11743 County Line Rd Ste C, Madison, AL 35758 Phone: 256-880-3500 Fax: 256-880-9203 |
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 |
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334 |
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955 |
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994 |
Jacob Ryan Gray, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd Ste 750, Madison, AL 35758 Phone: 256-724-8880 Fax: 888-951-7515 |