| Mrs Stephanie Videan, CPNP-PC | |
|
760 W Franklin St, Jackson, MI 49201-2048 | |
| (517) 780-9260 | |
| Not Available |
| Full Name | Mrs Stephanie Videan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 760 W Franklin St, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669800975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704261894 (Michigan) | Primary |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326078866 PECOS PAC ID: 0244136067 Enrollment ID: O20031211000174 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie Videan, CPNP-PC 760 W Franklin St, Jackson, MI 49201-2048 Ph: (517) 780-9260 | Mrs Stephanie Videan, CPNP-PC 760 W Franklin St, Jackson, MI 49201-2048 Ph: (517) 780-9260 |
Terri Lynn Ladwig, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 Fax: 313-876-1305 | |
Kassidy Jo Treacey, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 | |
Deanna Marie Tregoning, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Page Ave, Jackson, MI 49201 Phone: 517-787-1234 | |
Chelsea Marie Schaefer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Michigan Ave Ste 300, Jackson, MI 49201 Phone: 517-205-2143 | |
Sarah Kay Kilponen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Michigan Ave, Jackson, MI 49201 Phone: 517-205-8930 | |
Kamelia Reinhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 E Michigan Ave Ste 240, Jackson, MI 49201 Phone: 517-205-1591 | |
Lauren Audrey Nemer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 N Jackson St Fl 1, Jackson, MI 49201 Phone: 262-312-4593 |