Eunjin Elena Jeong, NP | |
600 S Wycombe Ave, Yeadon, PA 19050-2835 | |
(610) 626-8065 | |
Not Available |
Full Name | Eunjin Elena Jeong |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 600 S Wycombe Ave, Yeadon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487463428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F312019-01 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | SP031665 (Pennsylvania) | Primary |
Entity Name | Vitality Np Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003453051 PECOS PAC ID: 1052747128 Enrollment ID: O20200210000033 |
Mailing Address | Practice Location Address |
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Eunjin Elena Jeong, NP 235 Garfield Ave Apt D, Collingswood, NJ 08108-3819 Ph: (201) 675-8414 | Eunjin Elena Jeong, NP 600 S Wycombe Ave, Yeadon, PA 19050-2835 Ph: (610) 626-8065 |
Rugiatu Kailie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 607 Rose St, Yeadon, PA 19050 Phone: 267-679-1958 | |
Shatyra Henderson-hamwright, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 E Baltimore Ave, Yeadon, PA 19050 Phone: 713-335-1754 | |
Ms. Sandra Gauthier, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Whitby Ave, Yeadon, PA 19050 Phone: 267-333-3175 | |
Alfred Abu, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 832 Arbor Rd, Yeadon, PA 19050 Phone: 610-304-2550 Fax: 610-259-2932 | |
Guanjun Cheng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Lincoln Ave, Yeadon, PA 19050 Phone: 610-262-7700 Fax: 610-626-7690 | |
Marie Kamara, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Serrill Ave, Yeadon, PA 19050 Phone: 484-469-4692 Fax: 484-469-4694 |