| Jack A Stansbury Jr, NP | |
|
2550 Elms Center Rd, N Charleston, SC 29406-9844 | |
| (843) 302-8840 | |
| (843) 818-2188 |
| Full Name | Jack A Stansbury Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2550 Elms Center Rd, N Charleston, 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 |
|---|---|---|---|
| 1508014853 | NPI | - | NPPES |
| NP4330 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19033 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP05772 (Louisiana) | Primary |
| Entity Name | Patient First Richmond Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689603748 PECOS PAC ID: 9931011434 Enrollment ID: O20031103000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack A Stansbury Jr, NP 110 Nnptc Circle, Goose Creek, SC 29445 Ph: (843) 794-6000 | Jack A Stansbury Jr, NP 2550 Elms Center Rd, N Charleston, SC 29406-9844 Ph: (843) 302-8840 |
Anna D Smith, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2550 Elms Center Rd, N Charleston, SC 29406 Phone: 843-302-8840 Fax: 843-569-5882 | |
Rebecca Rothemich, APRN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2375 Baker Hospital Blvd, N Charleston, SC 29405 Phone: 843-744-2750 | |
Cheryl Ann Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8901 University Blvd, N Charleston, SC 29406 Phone: 843-203-2245 Fax: 843-203-2244 | |
Ms. Heather A Urie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6296 Rivers Ave Ste 310, N Charleston, SC 29406 Phone: 843-266-3870 Fax: 843-225-3674 | |
Miss Holland Anne Palmgren, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2810 Ashley Phosphate Rd Ste B4, N Charleston, SC 29418 Phone: 843-553-7744 Fax: 843-553-7734 | |
Loree Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5133 Rivers Ave, N Charleston, SC 29406 Phone: 843-789-1786 Fax: 843-958-1263 | |
Whitney Long, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9313 Medical Plaza Dr Ste 202, N Charleston, SC 29406 Phone: 843-572-1200 Fax: 843-553-0424 |