| Jennifer C Sanders, FNP-BC | |
|
5480 Goodman Rd Ste 1, Olive Branch, MS 38654-7902 | |
| (662) 874-6507 | |
| (662) 932-8197 |
| Full Name | Jennifer C Sanders |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 5480 Goodman Rd Ste 1, Olive Branch, 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 |
|---|---|---|---|
| 1043633696 | NPI | - | NPPES |
| 05102521 | Medicaid | MS | |
| Q044388 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R817657 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Sunflower Home Health | Cleveland, MS | Home health agency |
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Group, Llc | 0941480131 | 103 |
| Entity Name | Primary Care Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110920000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C Sanders, FNP-BC 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () - | Jennifer C Sanders, FNP-BC 5480 Goodman Rd Ste 1, Olive Branch, MS 38654-7902 Ph: (662) 874-6507 |
Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006 | |
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806 | |
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322 | |
Wanda Brown, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554 | |
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Queen Mcghee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111 |