| Ms Jennifer Holmes Eaton, CRNP-PEDS | |
|
5219 Lankford Hwy, New Church, VA 23415-3332 | |
| (757) 824-5676 | |
| Not Available |
| Full Name | Ms Jennifer Holmes Eaton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 5219 Lankford Hwy, New Church, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518365881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 0024173574 (Virginia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | R262555 (Maryland) | Primary |
| Entity Name | Eastern Shore Rural Health System Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043341613 PECOS PAC ID: 2668380106 Enrollment ID: O20040122001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Holmes Eaton, CRNP-PEDS Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Ms Jennifer Holmes Eaton, CRNP-PEDS 5219 Lankford Hwy, New Church, VA 23415-3332 Ph: (757) 824-5676 |
Katherine Louise Hall, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5219 Lankford Hwy, New Church, VA 23415 Phone: 757-824-5676 Fax: 757-824-5872 | |
Michael King, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5219 Lankford Hwy, New Church, VA 23415 Phone: 757-824-5676 | |
Mrs. Jean S Laughman, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Atlantic Community Health Center, 5219 Lankford Highway, New Church, VA 23415 Phone: 757-824-5676 Fax: 757-824-5872 | |
Michael A Crum, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5219 Lankford Hwy, New Church, VA 23415 Phone: 757-824-5676 |