Jessica Michelle Black, APRN | |
120 Progress Way, Owenton, KY 40359-6032 | |
(844) 655-6100 | |
Not Available |
Full Name | Jessica Michelle Black |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 120 Progress Way, Owenton, Kentucky |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093253379 | NPI | - | NPPES |
3011086 | Other | KY | KY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3011086 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Health Systems, Inc. | 4082798699 | 17 |
Entity Name | Triad Health Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831311299 PECOS PAC ID: 4082798699 Enrollment ID: O20100806000077 |
Mailing Address | Practice Location Address |
---|---|
Jessica Michelle Black, APRN 1401 Madison Ave, Covington, KY 41011-3313 Ph: (859) 655-6100 | Jessica Michelle Black, APRN 120 Progress Way, Owenton, KY 40359-6032 Ph: (844) 655-6100 |
Cheryl Beth Baker, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 120 Progress Way, Owenton, KY 40359 Phone: 844-655-6100 Fax: 502-484-2102 | |
Ms. Candy Michelle Gibson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 Roland Ave., Owenton, KY 40359 Phone: 859-331-3292 Fax: 502-484-0894 | |
Elizabeth Hopkins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Progress Way, Owenton, KY 40359 Phone: 502-484-2117 Fax: 859-567-1253 | |
Labriska F. Humphrey, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1380 Herman Greene Rd, Owenton, KY 40359 Phone: 502-514-2055 |