| Jennifer A Kiggans, AGNP | |
|
825 Fairfax Ave Ste 201, Norfolk, VA 23507 | |
| (757) 446-7040 | |
| (757) 446-7049 |
| Full Name | Jennifer A Kiggans |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 825 Fairfax Ave Ste 201, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033463476 | NPI | - | NPPES |
| 0017140770 | Other | VA | LICENSE TO PRESCRIBE |
| 0024170457 | Other | VA | NURSE PRACTITIONER LICENSE |
| 1033463476 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 0024170457 (Virginia) | Primary |
| Entity Name | Tidewater Family Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750462628 PECOS PAC ID: 1951391796 Enrollment ID: O20040514000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Kiggans, AGNP Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 446-7040 | Jennifer A Kiggans, AGNP 825 Fairfax Ave Ste 201, Norfolk, VA 23507 Ph: (757) 446-7040 |
Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241 |
Tracy Lyn Martino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441 |
Cecille Morido Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610 |
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242 |
Ms. Kimberly Nicole Gray, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave Ste 410, Norfolk, VA 23507 Phone: 757-446-8999 |
Kacie Denise Carter, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8796 Fax: 757-668-9814 |
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196 |