Mr Michael Roy De Jesus, DNP, APRN, FNP-C | |
271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | |
(325) 654-3149 | |
Not Available |
Full Name | Mr Michael Roy De Jesus |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 271 Fort Richardson Ave, Goodfellow Afb, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134647035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP134221 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN002635 (Nevada) | Primary |
Entity Name | Texas Tech University Health Sciences Center El Paso |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Roy De Jesus, DNP, APRN, FNP-C 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 Ph: (325) 654-3149 | Mr Michael Roy De Jesus, DNP, APRN, FNP-C 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 Ph: (325) 654-3149 |
Stravens Moseti Omwenga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 Phone: 325-654-3149 | |
Jackelyn Marie Wiser, APRN- FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 Phone: 325-654-5391 |