| Jennifer Ann Rose, CRNP | |
|
2410 Avalon Ave, Muscle Shoals, AL 35661-3283 | |
| (256) 386-0808 | |
| (256) 389-8904 |
| Full Name | Jennifer Ann Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2410 Avalon Ave, Muscle Shoals, Alabama |
| 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 |
|---|---|---|---|
| 1720754674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 1-155978 (Alabama) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 1-155978 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of San Angelo | San angelo, TX | Home health agency |
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| The West Texas Rehabilitation Center | 2860301215 | 376 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Rose, CRNP 2410 Avalon Ave, Muscle Shoals, AL 35661-3283 Ph: (256) 386-0808 | Jennifer Ann Rose, CRNP 2410 Avalon Ave, Muscle Shoals, AL 35661-3283 Ph: (256) 386-0808 |
Kristy Miles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-389-9300 | |
Mr. Thaddeus Jason Boughton, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 Phone: 256-314-2431 Fax: 256-314-2435 | |
Mrs. Melissa Anne Aycock, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661 Phone: 256-383-6070 Fax: 256-381-4022 | |
Jessica Byrd, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 State St, Muscle Shoals, AL 35661 Phone: 256-381-6963 Fax: 256-826-0303 | |
Laura Geneva Gilmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-826-1001 Fax: 256-978-5118 | |
Stacy Davis, ANCC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 W State St, Muscle Shoals, AL 35661 Phone: 256-978-4441 | |
Mrs. Rachel Starks Austin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Avalon Ave Ste 100, Muscle Shoals, AL 35661 Phone: 256-314-6947 Fax: 256-314-6902 |