| Destan Musgrove, | |
|
201 E 16th Ave, Cordele, GA 31015-1623 | |
| (229) 273-8501 | |
| (877) 325-1992 |
| Full Name | Destan Musgrove |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 201 E 16th Ave, Cordele, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356154470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN268562 (Georgia) | Primary |
| Entity Name | Stevens Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467779082 PECOS PAC ID: 8123211349 Enrollment ID: O20101020001104 |
| Mailing Address | Practice Location Address |
|---|---|
| Destan Musgrove, 201 E 16th Ave, Cordele, GA 31015-1623 Ph: (229) 273-8501 | Destan Musgrove, 201 E 16th Ave, Cordele, GA 31015-1623 Ph: (229) 273-8501 |
Ms. Candace Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1329 N 5th Street Ext, Cordele, GA 31015 Phone: 229-276-2286 | |
Kayla Bernardoni, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 E 16th Ave, Cordele, GA 31015 Phone: 229-271-9330 Fax: 229-271-9245 | |
Marcy King, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 N 5th Street Ext, Cordele, GA 31015 Phone: 229-273-9050 Fax: 229-276-3641 | |
Brandi Jean Newman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3100 | |
Mrs. Emily James Lamb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229 | |
Ms. Danielle K Hedden, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 804 E 16th Ave, Cordele, GA 31015 Phone: 229-273-8881 Fax: 229-273-8985 | |
Mrs. Jenifer Elaine Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3361 Fax: 229-276-3362 |