| Mrs Jennifer Sheila Ponce Demaree, APRN, FNP | |
|
12131 Carson St, Hawaiian Gardens, CA 90716-1154 | |
| (562) 809-0299 | |
| Not Available |
| Full Name | Mrs Jennifer Sheila Ponce Demaree |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12131 Carson St, Hawaiian Gardens, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518650605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95025434 (California) | Primary |
| Entity Name | Prohealth Partners, A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Sheila Ponce Demaree, APRN, FNP 12131 Carson St, Hawaiian Gardens, CA 90716-1154 Ph: (562) 809-0299 | Mrs Jennifer Sheila Ponce Demaree, APRN, FNP 12131 Carson St, Hawaiian Gardens, CA 90716-1154 Ph: (562) 809-0299 |
Yvette Denise Holman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21500 Pioneer Blvd, Hawaiian Gardens, CA 90716 Phone: 855-845-6291 | |
Stacey Mah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22310 Wardham Ave, Hawaiian Gardens, CA 90716 Phone: 562-928-9600 | |
Frances Abigail Perez Malantic, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12131 Carson St, Hawaiian Gardens, CA 90716 Phone: 562-809-0299 |