| Jennifer Knisely, PMHNP-BC | |
|
610 Euclid Ave Ste 200, National City, CA 91950-2951 | |
| (619) 267-9257 | |
| (619) 267-9273 |
| Full Name | Jennifer Knisely |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 610 Euclid Ave Ste 200, National City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992276679 | NPI | - | NPPES |
| 678055 | Other | CA | REGISTERED NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2018069770 (California) | Primary |
| Entity Name | Mellow Medical Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222 |
| Entity Name | Ehab Yacoub Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Knisely, PMHNP-BC 2345 E 8th St Ste 111, National City, CA 91950-2861 Ph: (619) 267-9257 | Jennifer Knisely, PMHNP-BC 610 Euclid Ave Ste 200, National City, CA 91950-2951 Ph: (619) 267-9257 |
De Courcy Luckett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W 8th St, National City, CA 91950 Phone: 619-474-8666 | |
Carl Oriel Raz Lero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Sue Insigne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Azeem Anjum, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Euclid Ave Ste 200, National City, CA 91950 Phone: 619-267-9257 Fax: 619-267-9273 | |
Alissa Gray, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2575 E 8th St, National City, CA 91950 Phone: 619-470-6700 | |
Michael B Raguine, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2743 Highland Ave, National City, CA 91950 Phone: 619-474-2284 | |
Anna Celia Gil, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 655 Euclid Ave Ste 405, National City, CA 91950 Phone: 619-479-0822 |