| Utrena Donsha Grant, | |
|
1707 Saint Marys Dr, Waycross, GA 31501-5207 | |
| (912) 282-1340 | |
| Not Available |
| Full Name | Utrena Donsha Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1707 Saint Marys Dr, Waycross, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548760622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 178607 (Georgia) | Primary |
| Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
| Entity Name | Integrity Health And Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881181808 PECOS PAC ID: 0648526368 Enrollment ID: O20180710002545 |
| Entity Name | Hospice Satilla Of Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508434408 PECOS PAC ID: 7416975677 Enrollment ID: O20210817002401 |
| Entity Name | Integrity Long Term Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376268177 PECOS PAC ID: 0244609071 Enrollment ID: O20221216001717 |
| Mailing Address | Practice Location Address |
|---|---|
| Utrena Donsha Grant, 1707 Saint Marys Dr, Waycross, GA 31501-5207 Ph: (912) 282-1340 | Utrena Donsha Grant, 1707 Saint Marys Dr, Waycross, GA 31501-5207 Ph: (912) 282-1340 |
Barbara D Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 Fax: 912-548-0071 | |
Robert Scott Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403a Lister St, Waycross, GA 31501 Phone: 912-283-4422 Fax: 912-283-4866 | |
Mrs. Dana Marie Morgan, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1610 Alice St, Waycross, GA 31501 Phone: 912-584-3263 Fax: 912-809-2296 | |
Mr. James Aaron Houser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1206 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125 | |
Dawn Lynn Driggers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 1/2 Alice St, Waycross, GA 31501 Phone: 912-614-3768 | |
Kala Hodges, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 229-391-3500 | |
Ms. Andrea M Deloach, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-2946 |