Mrs Jessica Arbeth Maddox Vann, APN is a
Nurse Practitioner - Gerontology based in Penns Grove, New Jersey. Mrs Jessica Arbeth Maddox Vann is licensed to practice in Pennsylvania (license number SP008840) and her current practice location is
106 Lupine Ln, Penns Grove, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 617-5229.
NPI number for Mrs Jessica Arbeth Maddox Vann is 1710037163 and her current mailing address is 106 Lupine Ln, Penns Grove, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710037163.
Provider's Profile
| Full Name | Mrs Jessica Arbeth Maddox Vann |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 106 Lupine Ln, Penns Grove, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710037163
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 10/30/2011
Medical Identifiers
Medical identifiers for Mrs Jessica Arbeth Maddox Vann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710037163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SP008840 (Pennsylvania) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00325000 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Arbeth Maddox Vann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jessica Arbeth Maddox Vann, APN
106 Lupine Ln,
Penns Grove, NJ 08069-2241
Ph: () - | Mrs Jessica Arbeth Maddox Vann, APN
106 Lupine Ln,
Penns Grove, NJ 08069-2241
Ph: (609) 617-5229 |
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