| Debra J Jones, PNP | |
|
8399 Richlands Hwy, Richlands, NC 28574-7390 | |
| (910) 324-7268 | |
| (910) 324-7273 |
| Full Name | Debra J Jones |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 8399 Richlands Hwy, Richlands, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699731919 | NPI | - | NPPES |
| 2134345 | Medicaid | OH | |
| 1699731919 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN157526 (Ohio) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 5019371 (North Carolina) | Primary |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra J Jones, PNP Po Box 986513, Dept 100, Boston, MA 02298-6513 Ph: (910) 219-8326 | Debra J Jones, PNP 8399 Richlands Hwy, Richlands, NC 28574-7390 Ph: (910) 324-7268 |
Tesheika Navoy Boomer, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 203 Crockett Ridge Ct E, Richlands, NC 28574 Phone: 910-650-6592 Fax: 910-597-1689 | |
Tina Reagan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 S Wilmington St, Richlands, NC 28574 Phone: 910-324-7268 Fax: 910-324-7273 |