| Patricia Arasely Jaimes, | |
| 1101 Ocilla Rd, Douglas, GA 31533-2262 | |
| (912) 384-1900 | |
| Not Available | 
| Full Name | Patricia Arasely Jaimes | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1101 Ocilla Rd, Douglas, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033992276 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN270337 (Georgia) | Primary | 
| Entity Name | Coffee Emergency Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023353489 PECOS PAC ID: 4880834050 Enrollment ID: O20130711000400 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patricia Arasely Jaimes, 112 Nobles Ln, Pearson, GA 31642-6424 Ph: (912) 592-4994 | Patricia Arasely Jaimes, 1101 Ocilla Rd, Douglas, GA 31533-2262 Ph: (912) 384-1900 | 
| Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015 | |
| Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117 | |
| Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966 | |
| Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117 | |
| Kera Ashlyn Malphus,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210 | |
| Linda Michelle Bixler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-384-8214 |