| Dominique Sophia Destiny Speaks, FNP | |
|
652 N Matthews Rd, Lake City, SC 29560-7008 | |
| (843) 432-3677 | |
| Not Available |
| Full Name | Dominique Sophia Destiny Speaks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 652 N Matthews Rd, Lake City, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235595141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19820 (South Carolina) | Primary |
| Entity Name | Hopehealth, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821002411 PECOS PAC ID: 4082510623 Enrollment ID: O20031212000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Sophia Destiny Speaks, FNP 360 N Irby St, Florence, SC 29501-2808 Ph: (843) 667-9414 | Dominique Sophia Destiny Speaks, FNP 652 N Matthews Rd, Lake City, SC 29560-7008 Ph: (843) 432-3677 |
Mrs. Margaret Elaine Tanner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 N Acline St, Lake City, SC 29560 Phone: 843-394-8822 Fax: 843-394-8856 | |
Diana Lee Collins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Sauls St, Lake City, SC 29560 Phone: 843-374-3621 | |
Mrs. Allison Campbell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 N Acline St, Lake City, SC 29560 Phone: 843-394-8822 | |
Ms. Sarah Lisa Frierson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1278 Moore St, Lake City, SC 29560 Phone: 843-389-7251 | |
Mrs. Omega Denise Graham, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 378 Wallace St, Lake City, SC 29560 Phone: 843-373-0569 | |
Jessica Mckenzie Grimsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-394-5471 |