| Jordan Michelle Prouse, FNP | |
|
750 Kings Hwy Ste 105, Lewes, DE 19958-1772 | |
| (302) 200-7530 | |
| Not Available |
| Full Name | Jordan Michelle Prouse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 750 Kings Hwy Ste 105, Lewes, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811756349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | LG-0013158 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LG-0013158 (Delaware) | Primary |
| Entity Name | First State Cardiovascular Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912606401 PECOS PAC ID: 1456710326 Enrollment ID: O20230711000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Michelle Prouse, FNP 1515 Savannah Rd, Lewes, DE 19958-1675 Ph: (302) 645-3499 | Jordan Michelle Prouse, FNP 750 Kings Hwy Ste 105, Lewes, DE 19958-1772 Ph: (302) 200-7530 |
Mrs. Tracy A. Harach, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Beebe Medical Center Margaret H. Rollins Campus, 424 Savannah Road, Lewes, DE 19958 Phone: 302-645-3300 | |
Ms. Helen A Merrick, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20251 John J Williams Hwy, Lewes, DE 19958 Phone: 302-644-6860 Fax: 302-644-6872 | |
Kimberly Beddow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3300 | |
Jessica Parcher, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18068 Coastal Hwy, Lewes, DE 19958 Phone: 025-671-5003 | |
Mrs. Mona T Orsini, CRNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1606 Savannah Rd, Lewes, DE 19958 Phone: 410-749-4154 Fax: 410-860-9583 | |
Dr. Kiernan Elsa Quay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 Savannah Rd, Lewes, DE 19958 Phone: 302-645-3300 | |
Vanessa Adams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Savannah Rd, Suite B, Lewes, DE 19958 Phone: 302-645-3555 Fax: 302-644-3560 |