| Mrs Jessica Brooke Bache, FNP-C | |
|
624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 | |
| (478) 453-1806 | |
| (478) 453-1807 |
| Full Name | Mrs Jessica Brooke Bache |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 624 W Martin Luther King Jr Dr, Milledgeville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801373493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN245340 (Georgia) | Primary |
| Entity Name | Nsh Cancer Institute Professional Services G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Brooke Bache, FNP-C 1835 Savoy Dr Ste 300, Atlanta, GA 30341-1071 Ph: (770) 496-9430 | Mrs Jessica Brooke Bache, FNP-C 624 W Martin Luther King Jr Dr, Milledgeville, GA 31061-2787 Ph: (478) 453-1806 |
Ms. Penny E. Wiggins, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 Vinson Hwy Se, Milledgeville, GA 31061 Phone: 478-445-7904 Fax: 478-452-8054 | |
Julie Sanders, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Ga Highway 22 W, Blandy Way Office Park, Milledgeville, GA 31061 Phone: 478-451-2701 | |
Keshana Snead, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Airport Rd Ne, Suite A, Milledgeville, GA 31061 Phone: 478-453-0077 Fax: 478-864-1288 | |
Ms. Anna H Ethridge, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 N Cobb St, Milledgeville, GA 31061 Phone: 478-454-3969 | |
Beverly Ann Criss, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Vinson Hwy Se, Milledgeville, GA 31061 Phone: 478-445-8002 | |
Chelsea Renee Johnston, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Hancock St, Milledgeville, GA 31061 Phone: 478-951-6725 | |
Mrs. Stephanie Mcnabb Welch, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Wright Dr, Milledgeville, GA 31061 Phone: 478-452-0005 Fax: 478-453-0077 |