| Jacquelyn Estelle Mouser, APRN | |
|
796 W Broadway St, Campbellsville, KY 42718-2783 | |
| (270) 572-4933 | |
| (270) 572-4950 |
| Full Name | Jacquelyn Estelle Mouser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 796 W Broadway St, Campbellsville, Kentucky |
| 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 |
|---|---|---|---|
| 1306313549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3012748 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Kentucky, Pllc | 0143525998 | 180 |
| Entity Name | Fast Pace Kentucky, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Estelle Mouser, APRN 796 W Broadway St, Campbellsville, KY 42718-2783 Ph: (270) 572-4933 | Jacquelyn Estelle Mouser, APRN 796 W Broadway St, Campbellsville, KY 42718-2783 Ph: (270) 572-4933 |
Ashlie Marie Judd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-789-6166 Fax: 270-789-6198 | |
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463 | |
Samantha Shipp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-5794 | |
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820 | |
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595 | |
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756 | |
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 |