| Jessica Dawn Yacques, APRN,FNP, PMHNP | |
|
257 Madison Ave Sw Suite 209, Corvallis, OR 97333-4757 | |
| (614) 420-5093 | |
| (971) 233-6398 |
| Full Name | Jessica Dawn Yacques |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 257 Madison Ave Sw Suite 209, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063826212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10043053 (Oregon) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10043053 (Oregon) | Primary |
| Entity Name | Adena Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Dawn Yacques, APRN,FNP, PMHNP 257 Sw Madison Ave Ste 209, Corvallis, OR 97333-4757 Ph: (971) 368-1045 | Jessica Dawn Yacques, APRN,FNP, PMHNP 257 Madison Ave Sw Suite 209, Corvallis, OR 97333-4757 Ph: (614) 420-5093 |
Ms. Kim Schlessinger, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-6687 Fax: 541-768-5424 |
Kourtney L Hanks, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |
Ms. Maria R. Clark-harmon, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330 Phone: 541-768-5140 |
Ms. Sherry Ruth Goeden Vi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Se Viewmont Ave, Corvallis, OR 97333 Phone: 541-766-3546 Fax: 541-766-6143 |
Christy M Rummel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 Sw 3rd St, Corvallis, OR 97333 Phone: 541-207-3773 Fax: 800-549-1017 |
Ms. Christine Dawn Gallagher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205 |
Ruth S Palma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |