| Mrs Jennifer Katherine Wade, NP | |
|
28105 Three Notch Rd # 1c, Mechanicsville, MD 20659-3235 | |
| (301) 290-1510 | |
| (301) 290-1574 |
| Full Name | Mrs Jennifer Katherine Wade |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 28105 Three Notch Rd # 1c, Mechanicsville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053736231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R194448 (Maryland) | Primary |
| Entity Name | Chesapeake Neurology And Spine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194974360 PECOS PAC ID: 0840206108 Enrollment ID: O20060224000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Katherine Wade, NP 1512 Abbey Ln, Huntingtown, MD 20639-2310 Ph: () - | Mrs Jennifer Katherine Wade, NP 28105 Three Notch Rd # 1c, Mechanicsville, MD 20659-3235 Ph: (301) 290-1510 |
Mrs. Michelle Elaine Sultage, CRNP-FAMILY Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28105 Three Notch Rd, 1c, Mechanicsville, MD 20659 Phone: 301-290-1510 | |
Mrs. Renee Maria Grubbs, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36725 Joan Dr, Mechanicsville, MD 20659 Phone: 850-381-4677 | |
Tori Marie Lewis Dauphinais, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28227 Three Notch Rd, Mechanicsville, MD 20659 Phone: 301-884-8161 Fax: 301-475-7039 | |
Tara Wood, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28170 Old Village Rd, Ste 102, Mechanicsville, MD 20659 Phone: 240-249-6073 Fax: 240-249-6075 | |
Ms. Christine Joy Schmitthenner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27290 Woodburn Hill Rd, Mechanicsville, MD 20659 Phone: 301-472-4279 | |
Kimberly Bysheim, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28105 Three Notch Rd # 1c, Mechanicsville, MD 20659 Phone: 301-290-1510 Fax: 301-290-1574 |