| Jacquelyn B Waldron, NP | |
|
22580 Highway 76 E, Suite 100, Laurens, SC 29360-8439 | |
| (864) 833-5986 | |
| (864) 833-0599 |
| Full Name | Jacquelyn B Waldron |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 22580 Highway 76 E, Laurens, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982647525 | NPI | - | NPPES |
| NP0249 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R40094 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Services Of Self Regional Healthcare | Greenwood, SC | Home health agency |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Ghs Laurens County Memorial Hospital | Clinton, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 363 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn B Waldron, NP 22580 Highway 76 E, Suite 100, Laurens, SC 29360-8439 Ph: (864) 833-5986 | Jacquelyn B Waldron, NP 22580 Highway 76 E, Suite 100, Laurens, SC 29360-8439 Ph: (864) 833-5986 |
Alexandrea Cromer Broom, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22580 Highway 76 E Ste 300, Laurens, SC 29360 Phone: 864-939-1070 Fax: 864-939-1079 | |
Mrs. Lakeisha Turner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Catherine St, Laurens, SC 29360 Phone: 803-673-2848 | |
Jenna Ann Allen, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 | |
Lorraine M Archer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 Fax: 864-984-3610 | |
Tiffany Goggans, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 Fax: 864-984-3610 | |
Amy Ledford Strickland, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22580 Highway 76 E Ste 300, Laurens, SC 29360 Phone: 864-939-1070 Fax: 864-939-1079 | |
Cathy L Merrell, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 Fax: 864-984-3610 |