| Mckenna Jaclyn Cole, CRNP | |
|
339 W Spring St, Titusville, PA 16354-1655 | |
| (814) 827-9675 | |
| (814) 827-4750 |
| Full Name | Mckenna Jaclyn Cole |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 339 W Spring St, Titusville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043058704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP030121 (Pennsylvania) | Primary |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1740774207 PECOS PAC ID: 8022907575 Enrollment ID: O20181219001350 |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760976336 PECOS PAC ID: 8022907575 Enrollment ID: O20181220000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenna Jaclyn Cole, CRNP 110 N 13th St, Franklin, PA 16323-2312 Ph: (814) 437-1541 | Mckenna Jaclyn Cole, CRNP 339 W Spring St, Titusville, PA 16354-1655 Ph: (814) 827-9675 |
Mrs. Heidi Rae Gaddess, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 Fax: 814-827-0216 | |
Brianne Wakefield, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-9770 | |
Stacy Kowalczyk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 | |
Deborah A. Martin, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 | |
Kim M Combs, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-1852 | |
Ryan Ochalek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 |