| Jaclyn Shoemaker, FNP | |
|
183 Route 206 South, Chester, NJ 07930 | |
| (866) 389-2727 | |
| (401) 216-3854 |
| Full Name | Jaclyn Shoemaker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 183 Route 206 South, Chester, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295257673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00739300 (New Jersey) | Primary |
| Entity Name | Minuteclinic Diagnostic Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
| Entity Name | Openloop Healthcare Partners New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588335152 PECOS PAC ID: 7315326964 Enrollment ID: O20220628001939 |
| Entity Name | Welltrackone Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770367468 PECOS PAC ID: 4880049089 Enrollment ID: O20231011002177 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Shoemaker, FNP 183 Us Highway 206 S, Chester, NJ 07930-2402 Ph: (866) 389-2727 | Jaclyn Shoemaker, FNP 183 Route 206 South, Chester, NJ 07930 Ph: (866) 389-2727 |
Mrs. Phygenia Y Nimoh, APN,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Rt 206 North, Chester, NJ 07930 Phone: 908-879-6818 | |
Ms. Bonita Sue Pyler, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787 | |
Mrs. Nicole Marie Douglas, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Route 24 Ste E, Chester, NJ 07930 Phone: 908-879-1500 | |
Phyllis Davis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787 | |
Jadrian Danelle Rawlings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 908-879-6818 | |
Ms. Babiche Michele Slack, RN, MS, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 612-859-7101 |