| Mrs Jennifer Herriage, APRN | |
|
550 Pope Ave, Fort Leavenworth, KS 66027-2332 | |
| (913) 684-6000 | |
| Not Available |
| Full Name | Mrs Jennifer Herriage |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 550 Pope Ave, Fort Leavenworth, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518674274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53-81588-031 (Kansas) | Primary |
| Entity Name | Olathe Health Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784639 PECOS PAC ID: 7618881905 Enrollment ID: O20031119000719 |
| Entity Name | Jayhawk Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Herriage, APRN 24315 W 58th Pl, Shawnee, KS 66226-2214 Ph: (913) 433-6113 | Mrs Jennifer Herriage, APRN 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6000 |
Miss Ligia J Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Harry Bell Rd, Fort Leavenworth, KS 66027 Phone: 417-655-0627 | |
Alexandra Nicole Dibasilio, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Pope Ave Apt 8, Fort Leavenworth, KS 66027 Phone: 410-960-5206 | |
Vincent Krause, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 Fax: 913-684-6612 | |
Mr. Jerry Lee Green Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Ms. Sashi A Zickefoose, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6601 | |
Ernest Francia Degenhardt, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn) Mcxn-cod. Ms Cotton, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
James Lawrence Sall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6671 |