| Joanna Elzbieta Andracka-kudla, FNP-BC | |
|
8536 Palmetto Commerce Pkwy, Ladson, SC 29456-6700 | |
| (843) 203-2255 | |
| Not Available |
| Full Name | Joanna Elzbieta Andracka-kudla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8536 Palmetto Commerce Pkwy, Ladson, 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 |
|---|---|---|---|
| 1982392692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27053 (Oklahoma) | Primary |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Elzbieta Andracka-kudla, FNP-BC Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 572-7727 | Joanna Elzbieta Andracka-kudla, FNP-BC 8536 Palmetto Commerce Pkwy, Ladson, SC 29456-6700 Ph: (843) 203-2255 |
Victoria Michelle Kennedy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 | |
Haley Mcclure Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Treeland Dr Ste B, Ladson, SC 29456 Phone: 843-277-2240 | |
Wilson Mccall Fitchett, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 Fax: 843-419-5391 | |
Kiara Baylock, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8536 Palmetto Commerce Pkwy Ste 401, Ladson, SC 29456 Phone: 854-529-3193 | |
Chiquita Anderson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9698 Patriot Blvd Apt 928, Ladson, SC 29456 Phone: 843-518-1376 | |
Chelsea Kelly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9537 S Cardinal Dr, Ladson, SC 29456 Phone: 843-997-4024 | |
Shelli Gibbs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 Treeland Dr, Suite C, Ladson, SC 29456 Phone: 843-277-2240 |