| Mrs Jessica St John, | |
|
303 N 7th St, Kentland, IN 47951-1379 | |
| (219) 474-5464 | |
| Not Available |
| Full Name | Mrs Jessica St John |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 303 N 7th St, Kentland, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609279249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71005144A (Indiana) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | New Horizon Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205949757 PECOS PAC ID: 8224949698 Enrollment ID: O20031106000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica St John, 300 E Mcbee Ave Ste 401, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Mrs Jessica St John, 303 N 7th St, Kentland, IN 47951-1379 Ph: (219) 474-5464 |
Deborah L Morgan, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 N 7th St, Kentland, IN 47951 Phone: 219-474-5464 Fax: 219-474-3603 | |
Colleen Henderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 N 7th St, Kentland, IN 47951 Phone: 219-474-5464 |