| Mrs Staccie Anne Allen, NP | |
|
922 E Call St, Starke, FL 32091-3616 | |
| (904) 368-2300 | |
| Not Available |
| Full Name | Mrs Staccie Anne Allen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 922 E Call St, Starke, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770998890 | NPI | - | NPPES |
| 012424100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | ARNP9203022 (Florida) | Primary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Medlink Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013972272 PECOS PAC ID: 2466360797 Enrollment ID: O20040227000090 |
| Entity Name | Southland Ems At Madison, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801024880 PECOS PAC ID: 1456497437 Enrollment ID: O20091005000551 |
| Entity Name | Appleton Intensivist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407411796 PECOS PAC ID: 5193149771 Enrollment ID: O20200716001495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Staccie Anne Allen, NP 2323 Nw 93rd St, Gainesville, FL 32606-7146 Ph: (352) 258-3726 | Mrs Staccie Anne Allen, NP 922 E Call St, Starke, FL 32091-3616 Ph: (904) 368-2300 |
Tricia Lawson Clark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 N Temple Ave, Starke, FL 32091 Phone: 904-964-7732 | |
Marcia Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 345 W Madison St, Starke, FL 32091 Phone: 904-964-5455 Fax: 904-964-4099 | |
Amanda Lahman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14044 Se 48th Ave, Starke, FL 32091 Phone: 904-263-5422 | |
Brenda R Trogdon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 132 E Madison St, Starke, FL 32091 Phone: 904-964-6500 Fax: 904-964-9170 | |
Ms. Gayle Shuford Nicula, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1550 S Water St, Starke, FL 32091 Phone: 904-368-2480 Fax: 904-368-2484 | |
Doneshia Mackey Cadet, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14044 Se 48th Ave, Starke, FL 32091 Phone: 904-263-5422 | |
Ester Shupe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Georgia St, Starke, FL 32091 Phone: 904-364-2900 Fax: 904-364-2901 |