| Mrs Jessica Henderson, NP-C | |
|
2300 Manchester Expy, Ste 2001, Columbus, GA 31904-6877 | |
| (706) 323-5552 | |
| (706) 324-5695 |
| Full Name | Mrs Jessica Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 2300 Manchester Expy, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790194314 | NPI | - | NPPES |
| 003163038A | Medicaid | GA | |
| 174933 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-129486 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN246307 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Alabama Medical Center And Snf | Opelika, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hypertension And Nephrology | 3971529793 | 9 |
| Hospice Advantage Midco Llc | 6608020334 | 11 |
| Entity Name | Hypertension & Nephrology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134289580 PECOS PAC ID: 3971529793 Enrollment ID: O20051020001031 |
| Entity Name | Hospice Advantage Midco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093238248 PECOS PAC ID: 6608020334 Enrollment ID: O20171113003047 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Henderson, NP-C Po Box 9006, Columbus, GA 31908-9006 Ph: (706) 323-5552 | Mrs Jessica Henderson, NP-C 2300 Manchester Expy, Ste 2001, Columbus, GA 31904-6877 Ph: (706) 323-5552 |
Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699 | |
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580 | |
Ms. April Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775 | |
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476 | |
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904 | |
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 | |
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973 |