| Jessica Alexandra Fennell-thomas, APRN | |
|
1148 E Gibson St Bldg B, Arcadia, FL 34266-5011 | |
| (863) 494-6222 | |
| (863) 494-3227 |
| Full Name | Jessica Alexandra Fennell-thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1148 E Gibson St Bldg B, Arcadia, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730623851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN9294156 (Florida) | Primary |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Alexandra Fennell-thomas, APRN 700 8th Ave W Ste 101, Palmetto, FL 34221-4737 Ph: (941) 776-4000 | Jessica Alexandra Fennell-thomas, APRN 1148 E Gibson St Bldg B, Arcadia, FL 34266-5011 Ph: (863) 494-6222 |
Angela Johnson Register, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Terence Ryan Vereen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Kaydean J Vickers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 | |
Dr. Chandra R Parsley, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1031 E Oak St, Arcadia, FL 34266 Phone: 863-491-7580 Fax: 863-491-7584 | |
Mr. Douglas Scott Quirk, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-491-0466 | |
Sadeep Kumbhamuelil John, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 Fax: 863-993-0108 | |
Mr. King David Mungin Sr., ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 N 12th Ave Bldg B, Arcadia, FL 34266 Phone: 863-494-1242 |