| Jeffrey Souza, FNP | |
|
2 Scripps Dr Ste 202, Sacramento, CA 95825-6207 | |
| (916) 436-3015 | |
| (916) 436-3042 |
| Full Name | Jeffrey Souza |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2 Scripps Dr Ste 202, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831558196 | NPI | - | NPPES |
| NP95007688 | Other | CA | BRN |
| RN328206 | Other | CA | BRN |
| Entity Name | Active Life Wound Clinic a Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801253323 PECOS PAC ID: 9436419017 Enrollment ID: O20180130000241 |
| Entity Name | Active Life Wound Center a Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396553616 PECOS PAC ID: 5991214918 Enrollment ID: O20250602002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Souza, FNP Po Box 661587, Sacramento, CA 95866-1587 Ph: (916) 436-3015 | Jeffrey Souza, FNP 2 Scripps Dr Ste 202, Sacramento, CA 95825-6207 Ph: (916) 436-3015 |
Alexia Pratt Monahan, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2279 45th St, Sacramento, CA 95817 Phone: 916-734-5959 |
Blanca E Avila, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Scripps Dr Ste 302, Sacramento, CA 95825 Phone: 714-472-7942 |
Sumon Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145 |
Elena Walterman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387 |
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935 |
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 |
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682 |