| Mrs Jackline Shinyonya Sutherland, NP | |
|
320 E Palmdale Blvd, Palmdale, CA 93550-4598 | |
| (661) 526-4766 | |
| Not Available |
| Full Name | Mrs Jackline Shinyonya Sutherland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 320 E Palmdale Blvd, Palmdale, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861882029 | NPI | - | NPPES |
| 1537966505 | Medicaid | CA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| High Desert Medical Corporation | 6103730569 | 54 |
| Entity Name | High Desert Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720196702 PECOS PAC ID: 6103730569 Enrollment ID: O20031118001191 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jackline Shinyonya Sutherland, NP 3610 Tournament Dr, Palmdale, CA 93551-5635 Ph: (661) 526-4766 | Mrs Jackline Shinyonya Sutherland, NP 320 E Palmdale Blvd, Palmdale, CA 93550-4598 Ph: (661) 526-4766 |
Wendy Macedo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150 | |
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614 | |
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786 | |
Miss Stacey Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945 | |
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300 | |
Mrs. Suja Alexander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 E Avenue S, Suite C, Palmdale, CA 93550 Phone: 661-267-6876 Fax: 661-267-0438 | |
Shelca Weaver Ramirez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38651 Panther Dr, Palmdale, CA 93551 Phone: 661-972-0989 |