Mrs Jessica Wilson Bacon, FNP | |
613 S Memorial Dr, Greenville, NC 27834-2856 | |
(252) 413-0720 | |
Not Available |
Full Name | Mrs Jessica Wilson Bacon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 613 S Memorial Dr, Greenville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952081119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5018491 (North Carolina) | Primary |
Entity Name | Hookerton Family Practice Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245275221 PECOS PAC ID: 1557424611 Enrollment ID: O20090115000332 |
Entity Name | Greenville Express Care, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477717312 PECOS PAC ID: 2668524497 Enrollment ID: O20090708000798 |
Mailing Address | Practice Location Address |
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Mrs Jessica Wilson Bacon, FNP 613 S Memorial Dr, Greenville, NC 27834-2856 Ph: (252) 413-0720 | Mrs Jessica Wilson Bacon, FNP 613 S Memorial Dr, Greenville, NC 27834-2856 Ph: (252) 413-0720 |
Staci G. Streeter-moye, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Paladin Dr, Greenville, NC 27834 Phone: 252-752-8880 Fax: 252-752-3084 | |
Walter Roger Nelson, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-752-4848 Fax: 252-752-9607 | |
Ms. Marcy Sue Speight, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 622 S Memorial Dr, Greenville, NC 27858 Phone: 570-371-8303 | |
Ann R Chambers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-6958 | |
Felicia R. Richardson, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401 | |
Mrs. Elizabeth Hayes Santiago, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2102 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 | |
Ms. Susan Holliday, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Park, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811 |