| Jeremy Griffin, NP | |
|
1090 Arnold Dr, Little Rock Afb, AR 72099-4501 | |
| (501) 987-3080 | |
| Not Available |
| Full Name | Jeremy Griffin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1090 Arnold Dr, Little Rock Afb, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376069526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 32004 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Home Care | Meridian, ID | Home health agency |
| St Luke's Mccall | Mccall, ID | Hospital |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic - Mccall Llc | 7618127994 | 41 |
| Entity Name | St Lukes Clinic - Mccall Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Griffin, NP 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-3080 | Jeremy Griffin, NP 1090 Arnold Dr, Little Rock Afb, AR 72099-4501 Ph: (501) 987-3080 |
Jacob Rogier, DNP, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080 | |
Seth Thomas Tolliver, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099 Phone: 501-987-5474 | |
Racheal L Rivera, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080 | |
Susanne Havel, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7245 | |
Freddie Hicks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-2932 | |
Clarissa Nicole Yarborough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080 |