| Heather A Klein, | |
|
244 Peachtree St, Jesup, GA 31545-0212 | |
| (912) 385-2453 | |
| (912) 559-2083 |
| Full Name | Heather A Klein |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 244 Peachtree St, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639605678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN207051 (Georgia) | Primary |
| Entity Name | Diversity Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326594714 PECOS PAC ID: 9638261910 Enrollment ID: O20110810000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather A Klein, 9355 Main St S, Nahunta, GA 31553-6159 Ph: (912) 462-6222 | Heather A Klein, 244 Peachtree St, Jesup, GA 31545-0212 Ph: (912) 385-2453 |
Melanie D Collum, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 391 S 1st St, Jesup, GA 31545 Phone: 912-427-8433 Fax: 912-427-9851 | |
Leslie Brook Tzen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202 | |
Lesleigh Dee Beard, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Sunset Blvd, Jesup, GA 31545 Phone: 912-588-0080 Fax: 912-588-0082 | |
Kelly Boyette, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Memorial Dr, Jesup, GA 31545 Phone: 912-427-4413 | |
Samantha Anthonette Wilkerson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202 | |
Halei Alise Kirkland, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Colonial Way, Jesup, GA 31545 Phone: 912-588-9110 | |
Elisha Marchette Dansby, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 S 1st St, Jesup, GA 31545 Phone: 912-530-3176 |