| Rose Marie Bard-jensen, NP | |
|
5263 S Highway 95, Fort Mohave, AZ 86426-9223 | |
| (928) 704-6400 | |
| (928) 768-1150 |
| Full Name | Rose Marie Bard-jensen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5263 S Highway 95, Fort Mohave, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912728965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 313581 (Arizona) | Primary |
| Entity Name | Bullhead City Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962429878 PECOS PAC ID: 1052317575 Enrollment ID: O20061005000614 |
| Entity Name | Northwest Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528683455 PECOS PAC ID: 9830506062 Enrollment ID: O20210406000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Marie Bard-jensen, NP Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 465-7211 | Rose Marie Bard-jensen, NP 5263 S Highway 95, Fort Mohave, AZ 86426-9223 Ph: (928) 704-6400 |
Tiffany Ann Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 | |
Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400 | |
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874 | |
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273 | |
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150 | |
Theresa Marin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-8000 | |
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 |