| Jenifer Justice, CRNP | |
|
1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 | |
| (014) 562-5986 | |
| (855) 830-3484 |
| Full Name | Jenifer Justice |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1911 Mission 66 Ste B, Vicksburg, Mississippi |
| 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 |
|---|---|---|---|
| 1043713167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903324 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Redmed Llc | 2961633656 | 43 |
| Minor Med Care, P.a. | 7618866021 | 36 |
| Entity Name | East Main Family Medical Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285072058 PECOS PAC ID: 5092943290 Enrollment ID: O20140115001341 |
| Entity Name | Redmed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
| Entity Name | Mdb Behavioral Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer Justice, CRNP 215 Katherine Dr Ste A, Flowood, MS 39232-9588 Ph: (601) 665-4162 | Jenifer Justice, CRNP 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 Ph: (014) 562-5986 |
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 | |
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 | |
Kerrie Sanders- Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-638-8600 | |
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183 Phone: 014-562-2776 Fax: 601-456-2622 |