| Jennifer Lynn Earl, | |
|
901 N 10th St, Mascoutah, IL 62258-1017 | |
| (618) 566-2183 | |
| Not Available |
| Full Name | Jennifer Lynn Earl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 901 N 10th St, Mascoutah, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801462072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11008994 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209024552 (Illinois) | Primary |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Entity Name | Altea Medical Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Earl, 1406 Centerpoint Cir Apt 305, Shiloh, IL 62269-2055 Ph: (859) 693-1167 | Jennifer Lynn Earl, 901 N 10th St, Mascoutah, IL 62258-1017 Ph: (618) 566-2183 |
Kristin Nicole Wilmes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Tanzanite Ln, Mascoutah, IL 62258 Phone: 618-567-0336 | |
Tiffany Hosp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 N Jefferson St Ste 200, Mascoutah, IL 62258 Phone: 618-566-8810 Fax: 618-566-7121 | |
Kelly M Whitaker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 W Main St, Mascoutah, IL 62258 Phone: 186-402-5572 Fax: 636-333-4510 | |
Kayla Moll, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 N Jefferson St # 200, Mascoutah, IL 62258 Phone: 618-566-8810 |