| Justin L Cole, NP | |
|
1203 Jefferson St, Laurel, MS 39440-4354 | |
| (601) 649-2863 | |
| (601) 649-9479 |
| Full Name | Justin L Cole |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1203 Jefferson St, Laurel, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588053052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 885111 (Mississippi) | Primary |
| 363L00000X | Nurse Practitioner | R885111 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Mississippi Methodist Rehab Ctr | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Dominic Medical Associates Llc | 0446303168 | 105 |
| Entity Name | St. Dominic Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
| Entity Name | Jefferson Neurology Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518486943 PECOS PAC ID: 5395006977 Enrollment ID: O20180222000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin L Cole, NP Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4560 | Justin L Cole, NP 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863 |
Kayla Marie Cooley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 | |
Cynthia Lynn Bean, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 | |
Illisia Marie Johnston, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N 15th Ave, Laurel, MS 39440 Phone: 601-426-5125 | |
Cynthia Dianne Arnold-spruill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510 | |
Mrs. Elisa Rene Hillman, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Tiffany Lauren Hilbun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 S 13th Ave, Laurel, MS 39440 Phone: 601-426-2140 Fax: 601-340-3220 | |
Mrs. Jessica Watson Lott, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525 |