| Natasha Vernon, FNP | |
| 
					1303 Limit Ave Ste 207, Suite 207, Mount Dora, FL 32757-3135  | |
| (352) 405-0078 | |
| (808) 300-5938 | 
| Full Name | Natasha Vernon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1303 Limit Ave Ste 207, Mount Dora, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437490190 | NPI | - | NPPES | 
| Entity Name | Lifestream Behavioral Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512  | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Natasha Vernon, FNP 1303 Limit Ave Ste 207, Suite 207, Mount Dora, FL 32757-3135 Ph: (407) 694-7286  | Natasha Vernon, FNP 1303 Limit Ave Ste 207, Suite 207, Mount Dora, FL 32757-3135 Ph: (352) 405-0078  | 
Ms. Carol J Kirkland, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111 Fax: 352-589-8495  | |
Stacy Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151  | |
Kristen Ross, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Wolf Ridge Ln, Mount Dora, FL 32757 Phone: 352-219-2215  | |
Sharon Molok, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755  | |
Mrs. Anna Nora Walls, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4880 N Highway 19a, Suite 200, Mount Dora, FL 32757 Phone: 352-589-8111  | |
Juanita Christine Robbins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6909 Old Highway 441 S Ste 105, Mount Dora, FL 32757 Phone: 352-800-5101  | |
Amber Renae Sanford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2255 Crescent Dr, Mount Dora, FL 32757 Phone: 352-838-3826  |