| Jessica Ac Judy, NP-C | |
|
800 East Blvd, Kingsford, MI 49802-4436 | |
| (906) 774-4000 | |
| (906) 774-0088 |
| Full Name | Jessica Ac Judy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 800 East Blvd, Kingsford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730163932 | NPI | - | NPPES |
| 5008750240 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 4705237 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704220408 (Michigan) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ac Judy, NP-C Po Box 220, Marquette, MI 49855-0220 Ph: (906) 225-4821 | Jessica Ac Judy, NP-C 800 East Blvd, Kingsford, MI 49802-4436 Ph: (906) 774-4000 |
Diane E Roell, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 Pyle Dr, Kingsford, MI 49802 Phone: 906-774-0522 Fax: 906-779-1306 | |
Mrs. Linda M Opsahl, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 East Blvd, Kingsford, MI 49802 Phone: 906-774-4000 Fax: 906-774-0088 | |
Diedra Hinds-springstroh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 Pyle Dr, Kingsford, MI 49802 Phone: 906-774-0522 |