| 5jaghealth, Pllc | |
|
112 Irvin Ave Sw Live Oak FL 32064-2214 | |
| (386) 647-6144 | |
| Not Available |
| Full Name | 5jaghealth, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 112 Irvin Ave Sw, Live Oak, Florida |
| Authorized Official Name and Position | Aymee Wilson (OWNER) |
| Authorized Official Contact | 3863306380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 5jaghealth, Pllc 8405 127th Dr Live Oak FL 32060-8835 Ph: (386) 647-6144 | 5jaghealth, Pllc 112 Irvin Ave Sw Live Oak FL 32064-2214 Ph: (386) 647-6144 |
| NPI Number | 1407636582 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 8921451469 |
|---|---|
| Medicare Enrollment ID | O20240131002623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407636582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Cheryl Renae Abersold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003457623 PECOS PAC ID: 0143663740 Enrollment ID: I20240212000655 |
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