Jennifer Hume Cook, | |
64 Napa Valley Cir, Madison, MS 39110-8892 | |
(601) 668-9726 | |
Not Available |
Full Name | Jennifer Hume Cook |
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Gender | Female |
Speciality | Registered Nurse |
Location | 64 Napa Valley Cir, Madison, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093316952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 903684 (Mississippi) | Primary |
Entity Name | St. Dominic Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Mailing Address | Practice Location Address |
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Jennifer Hume Cook, 64 Napa Valley Cir, Madison, MS 39110-8892 Ph: (601) 668-9726 | Jennifer Hume Cook, 64 Napa Valley Cir, Madison, MS 39110-8892 Ph: (601) 668-9726 |
Travis Jay Holtsinger, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 107 Wildwood Dr, Madison, MS 39110 Phone: 601-937-1729 | |
Scheleria Banks, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 113 Greenfield Way, Madison, MS 39110 Phone: 601-955-2596 | |
Jane R Goff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 545 Windsor Dr, Madison, MS 39110 Phone: 601-750-1513 | |
Jillian Reppond, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 123 Mason Way, Madison, MS 39110 Phone: 601-941-2726 | |
Katie Lauren King, Registered Nurse Medicare: Medicare Enrolled Practice Location: 121 Johnstone Dr, Madison, MS 39110 Phone: 601-985-7471 | |
Jessica Fitzgerald, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 521 Huntington Dr, Madison, MS 39110 Phone: 601-624-2779 |