| Miss Jennifer Lynn Johnson, NURSE PRACTITIONER | |
|
915 Elmo St, Americus, GA 31709-3710 | |
| (229) 389-2038 | |
| (229) 924-9899 |
| Full Name | Miss Jennifer Lynn Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 915 Elmo St, Americus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548508302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN190791 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN190791 (Georgia) | Primary |
| Entity Name | Peachtree Immediate Care FP, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Family Hospice and Palliative Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790524585 PECOS PAC ID: 5193264059 Enrollment ID: O20240823001888 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jennifer Lynn Johnson, NURSE PRACTITIONER 2018 Pin Oak Ter, Bonaire, GA 31005-2600 Ph: (478) 320-2517 | Miss Jennifer Lynn Johnson, NURSE PRACTITIONER 915 Elmo St, Americus, GA 31709-3710 Ph: (229) 389-2038 |
Cassandra Jones, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Sharon Dr, Americus, GA 31709 Phone: 229-942-5507 |
Michelle Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1102 E Lamar St Ste 2, Americus, GA 31709 Phone: 229-514-1444 Fax: 229-514-1422 |
Mrs. Misty Faulk Willis, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 E Lamar St, Americus, GA 31709 Phone: 229-924-8636 Fax: 229-924-8786 |
Mr. Leo Pouliot, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 618 E Lamar St, Americus, GA 31709 Phone: 229-928-8355 Fax: 229-928-8358 |
Cheryl Tharp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 169 Pine Level Rd, Americus, GA 31719 Phone: 229-938-3714 |
Dr. Kia Taylor, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 S Martin Luther King Blvd., Us 280, Americus, GA 31719 Phone: 229-924-6011 |
Allen Blaine Howell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Plantation Ridge Drive, Americus, GA 31709 Phone: 229-928-3920 Fax: 229-928-3921 |