| Vicky St John, APRN | |
|
315 W Houston St, Jasper, TX 75951-4013 | |
| (409) 384-3430 | |
| (409) 383-1054 |
| Full Name | Vicky St John |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 315 W Houston St, Jasper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033580394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP129324 (Texas) | Primary |
| Entity Name | Deep East Texas Maternal & Family Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043307986 PECOS PAC ID: 7113958539 Enrollment ID: O20050825000689 |
| Entity Name | Sound Physicians Emergency Medicine Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky St John, APRN 315 W Houston St, Jasper, TX 75951-4013 Ph: (409) 384-3430 | Vicky St John, APRN 315 W Houston St, Jasper, TX 75951-4013 Ph: (409) 384-3430 |
Mrs. Kamesha Jennel Barnes, CPN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 409-384-5701 | |
Mrs. Jill Christine Pate, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 409-384-5701 | |
Edith Lorraine Hodges, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 W Gibson St, Jasper, TX 75951 Phone: 409-336-2088 | |
Jenna-maree Inman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1273 S Peachtree St, Jasper, TX 75951 Phone: 409-384-9200 | |
Gregory Lee Gray, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 902 N Wheeler St, Jasper, TX 75951 Phone: 409-384-4336 | |
Alyson Vanya, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Dickerson Dr, Jasper, TX 75951 Phone: 409-489-9322 |