| Nicole Fox Jennette, OTR/L | |
|
1304 Se Second St, Snow Hill, NC 28580-2014 | |
| (252) 747-8126 | |
| Not Available |
| Full Name | Nicole Fox Jennette |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1304 Se Second St, Snow Hill, North Carolina |
| 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 |
|---|---|---|---|
| 1831838481 | NPI | - | NPPES |
| 14109 | Other | NC | NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 14109 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Outpatient Rehabilitation Services Llc | 8022272848 | 166 |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Fox Jennette, OTR/L 214 Se Fourth St, Snow Hill, NC 28580-1526 Ph: (828) 773-3588 | Nicole Fox Jennette, OTR/L 1304 Se Second St, Snow Hill, NC 28580-2014 Ph: (252) 747-8126 |
Taija Heath, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1304 Se 2nd St, Snow Hill, NC 28580 Phone: 252-747-8126 | |
Pamela Aldridge Suggs, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Kingold Blvd, Snow Hill, NC 28580 Phone: 252-747-3425 | |
Chrislyn Jones, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1304 Se Second St, Snow Hill, NC 28580 Phone: 252-747-8126 |