| Jessica Marie Maxwell, APRN | |
|
106 Nw 9th Ave, Mulberry, FL 33860-2922 | |
| (866) 234-8534 | |
| (863) 683-2579 |
| Full Name | Jessica Marie Maxwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 106 Nw 9th Ave, Mulberry, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568695898 | NPI | - | NPPES |
| 001465200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9265425 (Florida) | Primary |
| Entity Name | Central Florida Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Maxwell, APRN 47 5th St Nw, Winter Haven, FL 33881-4672 Ph: (866) 234-8534 | Jessica Marie Maxwell, APRN 106 Nw 9th Ave, Mulberry, FL 33860-2922 Ph: (866) 234-8534 |
Lizabel Feliciano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Mr. John R Pollard, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 N Church Ave, Mulberry, FL 33860 Phone: 863-619-5201 Fax: 863-646-8575 | |
Daniela Lucero Diaz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Mrs. Patricia C Bayshore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Nw 9th Ave, Mulberry, FL 33860 Phone: 866-234-8534 | |
Susan F Bernal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1310 N Church Ave, Mulberry, FL 33860 Phone: 863-425-9309 Fax: 863-425-8401 | |
Mrs. Jennifer Lynne Reber, ARNP, AOCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2987 Blackwater Oaks Dr, Mulberry, FL 33860 Phone: 863-521-6407 |