| Jessica A Radley, FNP-BC | |
|
2122 Highway 71 S, Columbus, TX 78934-3011 | |
| (979) 732-2318 | |
| Not Available |
| Full Name | Jessica A Radley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2122 Highway 71 S, Columbus, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003057829 | NPI | - | NPPES |
| 677695 | Other | TX | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 677695 (Texas) | Primary |
| Entity Name | Columbus Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740238641 PECOS PAC ID: 1557250446 Enrollment ID: O20040417000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica A Radley, FNP-BC 2122 Highway 71 S, Columbus, TX 78934-3011 Ph: (979) 732-2318 | Jessica A Radley, FNP-BC 2122 Highway 71 S, Columbus, TX 78934-3011 Ph: (979) 732-2318 |
Yvonne M Wagner, RN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2122 Highway 71 S, 101, Columbus, TX 78934 Phone: 979-732-2318 Fax: 979-732-2310 | |
Mrs. Kristy Gail Nelson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Shult Dr, Columbus, TX 78934 Phone: 979-493-7720 | |
Mrs. Karolyn Sue Mau, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2545 Brunes Mill Rd, Columbus, TX 78934 Phone: 979-733-4022 |