| Tiffany J Nelson, NP-C | |
|
8033 W Florissant Ave Ste A, Jennings, MO 63136-1412 | |
| (314) 888-0971 | |
| (314) 408-7062 |
| Full Name | Tiffany J Nelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 8033 W Florissant Ave Ste A, Jennings, Missouri |
| 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 |
|---|---|---|---|
| 1972842359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2012022140 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Street Health Physicians Group Of Missouri Llc | 7315340213 | 25 |
| Entity Name | Oak Street Health Physicians Group of Missouri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669041760 PECOS PAC ID: 7315340213 Enrollment ID: O20210729003441 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany J Nelson, NP-C Po Box 740019, Atlanta, GA 30374-0019 Ph: (833) 804-1695 | Tiffany J Nelson, NP-C 8033 W Florissant Ave Ste A, Jennings, MO 63136-1412 Ph: (314) 888-0971 |
Brett Anthony Ferguson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8033 W Florissant Ave Ste A, Jennings, MO 63136 Phone: 314-888-0971 Fax: 314-408-7062 |
Robyn Drake, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8033 W Florissant Ave Ste A, Jennings, MO 63136 Phone: 314-888-0971 Fax: 314-408-7062 |