| Jordyn Nicole Wilson, FNP-C | |
|
1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | |
| (762) 235-2330 | |
| (706) 236-6360 |
| Full Name | Jordyn Nicole Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1825 Martha Berry Blvd Nw, Rome, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447908702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | GAA-NP000693 (Georgia) | Primary |
| Entity Name | Harbin Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679599088 PECOS PAC ID: 0446154231 Enrollment ID: O20031124000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordyn Nicole Wilson, FNP-C 221 Technology Pkwy Nw, Rome, GA 30165-1369 Ph: (762) 235-1000 | Jordyn Nicole Wilson, FNP-C 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 Ph: (762) 235-2330 |
Charles Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6515 | |
Hilarie Hincy Rankin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 John Maddox Dr Nw Ste 100, Rome, GA 30165 Phone: 706-528-9060 Fax: 706-528-9061 | |
Mckenzi Paige Brumby, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 762-235-2710 Fax: 706-291-2227 | |
Ashley Nicole Wilbanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165 Phone: 706-233-8506 Fax: 706-233-8507 | |
Ronald Seth Van Dyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Redmond Rd Nw, Rome, GA 30165 Phone: 762-235-3960 Fax: 706-233-8505 | |
Alexis Butler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165 Phone: 706-232-8477 | |
Linda H. Hoffmann, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw, Suite 102, Rome, GA 30165 Phone: 706-233-9349 Fax: 706-232-7986 |