| Mrs Angela M Jessie, APRN | |
|
109 Sartin Dr, Edmonton, KY 42129-8170 | |
| (270) 432-2444 | |
| (270) 432-2445 |
| Full Name | Mrs Angela M Jessie |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 109 Sartin Dr, Edmonton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720050818 | NPI | - | NPPES |
| 11386204 | Other | KY | CAQH |
| 78003944 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3003026 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3003026 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Entity Name | Fh&l Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063809523 PECOS PAC ID: 0840519948 Enrollment ID: O20150511002324 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela M Jessie, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Mrs Angela M Jessie, APRN 109 Sartin Dr, Edmonton, KY 42129-8170 Ph: (270) 432-2444 |
Natalie D Bruce, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Mrs. Nancy Lee Barrett, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054 | |
Constance R Prostko, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Kathy Lynn Moss, APRN, PMHNP, B-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 293 Joe Acree Rd, Edmonton, KY 42129 Phone: 270-579-1471 | |
Mrs. Adriene Elizabeth Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Lindsay Jo Stice Huff, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 612 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4320 Fax: 270-432-3662 |