| Jessica Marie Staton, NP | |
|
8653 N 32nd St Ste 1c, Richland, MI 49083-9494 | |
| (269) 225-3105 | |
| Not Available |
| Full Name | Jessica Marie Staton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8653 N 32nd St Ste 1c, Richland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972215226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704293156 (Michigan) | Primary |
| Entity Name | Age Management Of West Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558700625 PECOS PAC ID: 2466686290 Enrollment ID: O20131010001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Staton, NP 6347 Cooney Rd, Delton, MI 49046-7751 Ph: (269) 598-1810 | Jessica Marie Staton, NP 8653 N 32nd St Ste 1c, Richland, MI 49083-9494 Ph: (269) 225-3105 |
Emily E Derhammer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-532-6722 | |
Mrs. April Klavinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2545 | |
Ms. Lisa Marie Hannon, MSN APRN WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5892 Hidden Oak Ave, Richland, MI 49083 Phone: 210-710-1926 | |
Sandra Dejong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 | |
Heather Nicole Merveldt, FNP-BC, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500 | |
Sally Vellenga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-226-2500 | |
Sharon Hanley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 |