| Marie Wynn, APRN | |
|
1101 College Ave, Jacksonville, TX 75766 | |
| (903) 586-0237 | |
| Not Available |
| Full Name | Marie Wynn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1101 College Ave, Jacksonville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861157695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | 935247 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1140832 (Texas) | Primary |
| Entity Name | Anderson Cherokee Community Enrichment Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710015201 PECOS PAC ID: 4284718107 Enrollment ID: O20080229000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Wynn, APRN 620 Houston St, Timpson, TX 75975-5332 Ph: (940) 768-9346 | Marie Wynn, APRN 1101 College Ave, Jacksonville, TX 75766 Ph: (903) 586-0237 |
Mr. Jacob Martin Cabrera, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4500 | |
Mrs. Traci Cameron, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766 Phone: 903-541-5455 Fax: 903-541-5456 | |
Crystal Christopher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1517 E Rusk St, Jacksonville, TX 75766 Phone: 430-808-0508 | |
Deborah Garganera Ledesma, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Commerce St, Jacksonville, TX 75766 Phone: 903-535-9041 | |
Pamela D Mackay, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Victoria O Obianwu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 S Jackson St, Jacksonville, TX 75766 Phone: 430-205-4150 | |
Mabel N. Nwachukwu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 College Ave, Jacksonville, TX 75766 Phone: 903-586-9000 |