| Mrs Jacqueline Susann Brown Stickel, NURSE PRACTITIONER | |
|
205 E 5th Ave, Ranson, WV 25438-1613 | |
| (304) 728-1812 | |
| Not Available |
| Full Name | Mrs Jacqueline Susann Brown Stickel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 205 E 5th Ave, Ranson, West Virginia |
| 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 |
|---|---|---|---|
| 1902370497 | NPI | - | NPPES |
| 0024176995 | Other | VA | VA APRN LICENSE |
| F11180017 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD | |
| 0001131963 | Other | VA | VA RN LICENSE |
| APRN97879NP | Other | WV APRN LICENSE | |
| 97879 | Other | WV | WV RN LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024176995 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | APRN97879NP (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Medical Center | Ranson, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | University Healthcare Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Susann Brown Stickel, NURSE PRACTITIONER 254 Fitzgerald St, Gerrardstown, WV 25420-1404 Ph: (540) 533-1965 | Mrs Jacqueline Susann Brown Stickel, NURSE PRACTITIONER 205 E 5th Ave, Ranson, WV 25438-1613 Ph: (304) 728-1812 |
Morggan Marjorie Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 E 5th Ave, Ranson, WV 25438 Phone: 304-596-2149 | |
Katelyn Morrison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Oak Lee Dr, Ranson, WV 25438 Phone: 304-350-0001 Fax: 681-252-1843 | |
Paige Renee Andersen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Preston St, Ranson, WV 25438 Phone: 304-728-1600 | |
Katelyn Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Oak Lee Dr, Ranson, WV 25438 Phone: 304-930-0001 Fax: 681-252-1843 | |
Gerald Oliver, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Oak Lee Drive, Ranson, WV 25438 Phone: 304-350-0001 Fax: 304-930-0001 | |
Eugenia Meligakes Johnson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1212 N Mildred St, Ranson, WV 25438 Phone: 304-724-6091 Fax: 304-725-7204 | |
Leona Faye Cook, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 N Mildred St, Ranson, WV 25438 Phone: 304-724-6091 Fax: 304-725-7204 |