| Rachel F Ennis, CRNP | |
|
3458 Neely Rd, Jb Mdl, NJ 08641-5312 | |
| (866) 377-2778 | |
| (609) 754-9249 |
| Full Name | Rachel F Ennis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 3458 Neely Rd, Jb Mdl, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689012437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 26NJ01414400 (New Jersey) | Primary |
| Entity Name | Signify Health Medical Associates Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel F Ennis, CRNP 3458 Neely Rd, Jb Mdl, NJ 08641-5312 Ph: (866) 377-2778 | Rachel F Ennis, CRNP 3458 Neely Rd, Jb Mdl, NJ 08641-5312 Ph: (866) 377-2778 |
Marcelle Yvonne Kendrick, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 609-754-9324 Fax: 609-754-9225 | |
Lisa Marie Bowling, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 609-754-9576 Fax: 609-754-9015 | |
Ms. Elizabeth Pavlovsky, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 866-377-2778 Fax: 609-754-9249 | |
Patrick Andrew Stockton, CPNP-PC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 609-754-9103 | |
Kristina Eileen Krasznai, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3458 Neely Rd, Jb Mdl, NJ 08641 Phone: 866-377-2778 |