| Mrs Jaclyn S Qualter, NP | |
|
406 Us 1 Hwy Ste A, Youngsville, NC 27596-7847 | |
| (199) 679-1880 | |
| (800) 507-0902 |
| Full Name | Mrs Jaclyn S Qualter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 406 Us 1 Hwy Ste A, Youngsville, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174543730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 205035 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Durham, NC | Home health agency |
| Entity Name | Dlp Person Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275043481 PECOS PAC ID: 9032478698 Enrollment ID: O20180108000023 |
| Entity Name | Loginclinics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003472804 PECOS PAC ID: 4385052562 Enrollment ID: O20210428001830 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jaclyn S Qualter, NP 406 Us 1 Hwy Ste A, Youngsville, NC 27596-7847 Ph: (919) 679-1880 | Mrs Jaclyn S Qualter, NP 406 Us 1 Hwy Ste A, Youngsville, NC 27596-7847 Ph: (199) 679-1880 |
Mrs. Darsey Fortun, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Woodcroft Dr, Youngsville, NC 27596 Phone: 336-402-9094 |
Mr. Benjamin Joseph Mastridge, MSN, PMHAPRN-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 78 Wheaton Ave, Youngsville, NC 27596 Phone: 919-529-2474 Fax: 919-529-2143 |