| Ketura James, | |
|
824 N 99th Ave, Avondale, AZ 85323-5324 | |
| (623) 643-9678 | |
| Not Available |
| Full Name | Ketura James |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 824 N 99th Ave, Avondale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548508237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 774424 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 239632 (Arizona) | Primary |
| Entity Name | Dr Gregory Carr Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386041861 PECOS PAC ID: 3072828607 Enrollment ID: O20150812006188 |
| Entity Name | Mind 247 Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566 |
| Mailing Address | Practice Location Address |
|---|---|
| Ketura James, 11806 Elkington Ct, Houston, TX 77071-3287 Ph: (832) 866-5726 | Ketura James, 824 N 99th Ave, Avondale, AZ 85323-5324 Ph: (623) 643-9678 |
Mr. Justin Markel Belford, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3426 N 126th Dr, Avondale, AZ 85392 Phone: 623-695-4011 | |
Courtney Standifird, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392 Phone: 623-935-1000 | |
Kia Lambeth, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392 Phone: 623-936-3312 Fax: 623-936-4248 | |
Amy Christine Amore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392 Phone: 623-547-0522 | |
Mrs. Marytza Olivas-osuna, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13055 W Mcdowell Rd Ste G112, Avondale, AZ 85392 Phone: 623-322-5900 | |
Joyce Akosua Bour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12729 W Monte Vista Rd, Avondale, AZ 85392 Phone: 623-792-0209 | |
Mario Alberto Garcia, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392 Phone: 623-547-0522 |