| Michael Lewis Henry, NP-C, ACNPC-AG | |
|
841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 | |
| (904) 398-5404 | |
| (904) 391-5545 |
| Full Name | Michael Lewis Henry |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 841 Prudential Dr Fl 10, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346918786 | NPI | - | NPPES |
| 120028800 | Medicaid | FL | |
| 30077 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 30077 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11026468 (Florida) | Primary |
| Entity Name | Chattanooga Hamilton County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154751931 PECOS PAC ID: 0547179731 Enrollment ID: O20040302001086 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20191118000999 |
| Entity Name | Erlanger Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477256303 PECOS PAC ID: 1153780226 Enrollment ID: O20230707000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lewis Henry, NP-C, ACNPC-AG Po Box 746649, Atlanta, GA 30374-6649 Ph: (904) 202-2092 | Michael Lewis Henry, NP-C, ACNPC-AG 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 Ph: (904) 398-5404 |
Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844 | |
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395 | |
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832 | |
Danielle Harper Pritchard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080 | |
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300 |