Jessica Marie Genoble, NP | |
6002 Berryhill Rd, Milton, FL 32570-5062 | |
(850) 626-5168 | |
Not Available |
Full Name | Jessica Marie Genoble |
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Gender | Female |
Speciality | Nurse Practitioner - Critical Care Medicine |
Location | 6002 Berryhill Rd, Milton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114798030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11030550 (Florida) | Secondary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | 11030550 (Florida) | Primary |
Entity Name | Santa Rosa Hb Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982384988 PECOS PAC ID: 4284089335 Enrollment ID: O20231010004073 |
Mailing Address | Practice Location Address |
---|---|
Jessica Marie Genoble, NP 608 W Chase St, Pensacola, FL 32502-4712 Ph: (619) 214-0726 | Jessica Marie Genoble, NP 6002 Berryhill Rd, Milton, FL 32570-5062 Ph: (850) 626-5168 |
Grace Francis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5441 Berryhill Rd, Milton, FL 32570 Phone: 850-626-7779 Fax: 850-626-7171 | |
Monica Jemison, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5277 Goshawk Dr, Milton, FL 32570 Phone: 850-499-6998 | |
Talitha Briese, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 Stewart St, Milton, FL 32570 Phone: 850-983-5500 Fax: 850-983-5530 | |
Toni Hodson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5530 Northrop Rd, Milton, FL 32570 Phone: 850-983-8888 | |
Mandy Cherie Selner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6002 Berryhill Rd, Milton, FL 32570 Phone: 850-626-7762 | |
Mrs. Kaylin Marie Quinn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4355 Glen Forest Dr, Milton, FL 32583 Phone: 850-313-1856 |