| Jermonique King, NP | |
|
Po Box 98, Fayette, MS 39069-0098 | |
| (601) 786-3475 | |
| (601) 786-9980 |
| Full Name | Jermonique King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Po Box 98, Fayette, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033531512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 877508 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R877508 (Mississippi) | Primary |
| Entity Name | Jefferson Comprehensive Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538924840 PECOS PAC ID: 0345248100 Enrollment ID: O20240412001971 |
| Mailing Address | Practice Location Address |
|---|---|
| Jermonique King, NP Po Box 98, Fayette, MS 39069-0098 Ph: (601) 786-3475 | Jermonique King, NP Po Box 98, Fayette, MS 39069-0098 Ph: (601) 786-3475 |
Mrs. Crystal S Cook, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Community Drive, Fayette, MS 39069 Phone: 601-786-3475 Fax: 601-786-9980 | |
India Martin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 870 Main St, Fayette, MS 39069 Phone: 601-786-3401 | |
Sharonda Rogers, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Community Dr, Fayette, MS 39069 Phone: 601-786-3475 | |
Matthew Kevin Bounds, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 821 Main St, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 | |
Aasaylah Mays, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 Gravel Hill Rd, Fayette, MS 39069 Phone: 601-597-4788 | |
Mrs. Veronica R Hutchins-clemons, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 870 Main St Ste A, Fayette, MS 39069 Phone: 601-809-0882 Fax: 601-809-0883 |