| Jerry Ezell Jr, RN | |
|
194 Porter Rd, Kalama, WA 98625-9698 | |
| (360) 673-3488 | |
| Not Available |
| Full Name | Jerry Ezell Jr |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Home Health |
| Location | 194 Porter Rd, Kalama, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750778346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | RN60545703 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Ezell Jr, RN 194 Porter Rd, Kalama, WA 98625-9698 Ph: (360) 673-3488 | Jerry Ezell Jr, RN 194 Porter Rd, Kalama, WA 98625-9698 Ph: (360) 673-3488 |
Rochelle Grothaus, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 415 Confer Rd, Kalama, WA 98625 Phone: 360-953-7737 | |
Robert Lee Blair, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 119 Blackburn Lane, Kalama, WA 98626 Phone: 360-673-2322 | |
Tracie Lynn Payne, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 165 Porter Rd, Kalama, WA 98625 Phone: 360-931-4107 |