| Mrs Soondy Renae Jegede, APRN | |
|
1616 Concierge Blvd Ste 100, Daytona Beach, FL 32117-7159 | |
| (386) 235-0348 | |
| Not Available |
| Full Name | Mrs Soondy Renae Jegede |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1616 Concierge Blvd Ste 100, Daytona Beach, Florida |
| 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 |
|---|---|---|---|
| 1497270243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11009986 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Serene Resolutions Llc | 6204374416 | 2 |
| Entity Name | Clearstone Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952777856 PECOS PAC ID: 6406262617 Enrollment ID: O20210315000763 |
| Entity Name | Serene Resolutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063240117 PECOS PAC ID: 6204374416 Enrollment ID: O20240820000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Soondy Renae Jegede, APRN 1616 Concierge Blvd Ste 100, Daytona Beach, FL 32117-7159 Ph: (386) 235-0348 | Mrs Soondy Renae Jegede, APRN 1616 Concierge Blvd Ste 100, Daytona Beach, FL 32117-7159 Ph: (386) 235-0348 |
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Debra Dowell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253 | |
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Lyne E Homeus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500 | |
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