| Jennifer A Tarvis, FNP | |
|
1825 Kingsley Ave Ste 200, Orange Park, FL 32073-4484 | |
| (904) 264-8621 | |
| (904) 215-9418 |
| Full Name | Jennifer A Tarvis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1825 Kingsley Ave Ste 200, Orange Park, Florida |
| 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 |
|---|---|---|---|
| 1336743582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704294673 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11030849 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange Park Medical Center | Orange park, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Family Practice Associates, Llc | 8820003411 | 52 |
| Entity Name | Memorial Family Practice Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Tarvis, FNP 8225 Pepperwood Dr, Jacksonville, FL 32244-5757 Ph: (906) 369-1251 | Jennifer A Tarvis, FNP 1825 Kingsley Ave Ste 200, Orange Park, FL 32073-4484 Ph: (904) 264-8621 |
Diana Lynn Bridges, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Ms. Shara Lanecia Mcphall, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 239-223-2751 | |
Benjamin A Debski, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1996 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-5700 Fax: 904-272-1474 | |
Amonae Danyel Russell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Mistwood Ct, Orange Park, FL 32065 Phone: 803-830-0541 | |
Heather Michelle Wade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-621-0643 Fax: 904-621-0644 | |
Gregg Steven Halverson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1542 Kingsley Ave Ste 136, Orange Park, FL 32073 Phone: 904-458-7780 | |
Erica Waters, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1279 Kingsley Ave Ste 102, Orange Park, FL 32073 Phone: 904-604-9914 Fax: 629-600-6769 |