| Jennifer Beare Ketterman, FNP-BC | |
|
3304 Hayman Dr, Federalsburg, MD 21632 | |
| (410) 754-2440 | |
| Not Available |
| Full Name | Jennifer Beare Ketterman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3304 Hayman Dr, Federalsburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306157508 | NPI | - | NPPES |
| 1306157508 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AC000834 (Maryland) | Secondary |
| 363L00000X | Nurse Practitioner | AC000834 (Maryland) | Primary |
| Entity Name | Tidalhealth Physician Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Beare Ketterman, FNP-BC 3304 Hayman Dr, Federalsburg, MD 21632-2626 Ph: (410) 754-2440 | Jennifer Beare Ketterman, FNP-BC 3304 Hayman Dr, Federalsburg, MD 21632 Ph: (410) 754-2440 |
Alessandra-anna Micheli Monaghan, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3970 White Rd, Federalsburg, MD 21632 Phone: 410-443-8836 | |
Christine Lynn Durham-pressley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Bloomingdale Ave, Federalsburg, MD 21632 Phone: 410-754-9021 Fax: 833-908-2285 | |
Mrs. Tiarra Jones-bbosa, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3304 Hayman Dr, Federalsburg, MD 21632 Phone: 410-754-2440 | |
Bridget Denise Allison, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Hargraves Dr, Federalsburg, MD 21632 Phone: 410-754-9021 Fax: 833-908-2285 |