| Jessica Marie Hellman, NURSE PRACTITIONER | |
|
213 Tanglewood Ct, Ridgeway, SC 29130-7100 | |
| (803) 337-3211 | |
| Not Available |
| Full Name | Jessica Marie Hellman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 213 Tanglewood Ct, Ridgeway, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164046652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 23846 (South Carolina) | Primary |
| Entity Name | Pruitthealth Physicians Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20210316000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Hellman, NURSE PRACTITIONER 213 Tanglewood Ct, Ridgeway, SC 29130-7100 Ph: (803) 479-5289 | Jessica Marie Hellman, NURSE PRACTITIONER 213 Tanglewood Ct, Ridgeway, SC 29130-7100 Ph: (803) 337-3211 |
Sharrell Tonya Odom, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 Us Highway 21 S, Ridgeway, SC 29130 Phone: 803-337-2920 Fax: 803-337-3010 | |
Mrs. Addrienne Faith Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Tanglewood Ct, Ridgeway, SC 29130 Phone: 803-337-3211 | |
Angela Evans-morales, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Us Highway 21 S, Ridgeway, SC 29130 Phone: 803-337-2920 Fax: 803-337-3010 |