Jessica J Tang, FNP-BC, IBCLC | |
112 Warren St, Newton, MA 02459-2065 | |
(800) 998-7042 | |
(818) 724-7704 |
Full Name | Jessica J Tang |
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Gender | Female |
Speciality | Registered Nurse - Lactation Consultant |
Location | 112 Warren St, Newton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104553395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WL0100X | Registered Nurse - Lactation Consultant | L-314297 (Oregon) | Primary |
363LF0000X | Nurse Practitioner - Family | 10000143 (Oregon) | Secondary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | Providence Health & Services - Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
Mailing Address | Practice Location Address |
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Jessica J Tang, FNP-BC, IBCLC Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Jessica J Tang, FNP-BC, IBCLC 112 Warren St, Newton, MA 02459-2065 Ph: (800) 998-7042 |
Kelcey Brodeur-bowlan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6000 | |
Ms. Sheila Frances Norton, CNM, ANP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-962-6096 | |
Sarah Mcdonnell, DNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 233 Needham St, Newton, MA 02464 Phone: 617-830-1644 | |
Brandi Leigh Britnell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 233 Needham St Ste 300, Newton, MA 02464 Phone: 617-915-0117 | |
Magen Bissell, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St Ste 5635th, Newton, MA 02462 Phone: 617-243-6744 | |
Vanessa Audrey Orneus, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10 Langley Rd Ste 400, Newton, MA 02459 Phone: 725-237-8775 |