| Deshala Frazier, APRN | |
| 
					235 Sw Dade St Ste A, Madison, FL 32340-2363  | |
| (850) 973-1402 | |
| (850) 973-1450 | 
| Full Name | Deshala Frazier | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 235 Sw Dade St Ste A, Madison, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356886196 | NPI | - | NPPES | 
| 120987400 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | RN9303538 (Florida) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN11028468 (Florida) | Primary | 
| Entity Name | North Florida Medical Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255526638 PECOS PAC ID: 6103737697 Enrollment ID: O20040102000848  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deshala Frazier, APRN 2804 Remington Green Cir Ste 2, Tallahassee, FL 32308-1550 Ph: (850) 385-4494  | Deshala Frazier, APRN 235 Sw Dade St Ste A, Madison, FL 32340-2363 Ph: (850) 973-1402  | 
Juanita Webb Fico, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Sw Third Ave, Madison, FL 32340 Phone: 850-973-5000  | |
Lavonte Mcdaniel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Sw Sumatra Ave, Madison, FL 32340 Phone: 850-973-5124 Fax: 850-973-5128  | |
Courtney Strickland Floyd, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 194 Ne Hancock Ave, Madison, FL 32340 Phone: 850-253-2275  | |
Jennifer Poucher,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Range Ave Ste C, Madison, FL 32340 Phone: 850-973-2252 Fax: 855-531-6313  | |
Garrett Norman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 224 Nw Crane Ave, Madison, FL 32340 Phone: 850-973-2271  | |
Ms. Elizabeth Fulford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Range Ave, Suite - C, Madison, FL 32340 Phone: 850-973-2252 Fax: 855-531-6313  | |
Amanda Grier Williams, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 Sw Washington Ave, Madison, FL 32340 Phone: 850-973-4590  |