| Nineveh A Mcintosh, PA-C | |
|
30 Ardisia Lane, St. Johns, FL 32259 | |
| (904) 287-2794 | |
| (904) 390-7458 |
| Full Name | Nineveh A Mcintosh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 30 Ardisia Lane, St. Johns, 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 |
|---|---|---|---|
| 1730430893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9106841 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA9106841 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Primary Care Inc | 0648177733 | 420 |
| Mailing Address | Practice Location Address |
|---|---|
| Nineveh A Mcintosh, PA-C Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032 | Nineveh A Mcintosh, PA-C 30 Ardisia Lane, St. Johns, FL 32259 Ph: (904) 287-2794 |
Mrs. Katherine Ann Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Ardisia Lane, St. Johns, FL 32259 Phone: 904-287-2794 Fax: 904-390-7458 | |
Vanessa M. Berrios, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Ardisia Lane, St. Johns, FL 32259 Phone: 904-287-2794 |