Unknown Individual – Family Nurse Practitioner, NPI 1144228669
Family Nurse Practitioner
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Provider Addresses for Unknown Individual
P O BOX 1000 DEPT 978
MEMPHIS, TN 381480001
Phone: (662) 893-7878
Fax: (662) 893-8054
Type: Mailing
7235, Hacks Cross Road, Olive Branch, DeSoto County, Mississippi, 38654, United States
OLIVE BRANCH, MS 38654
Phone: (662) 893-7878
Fax: (662) 893-8054
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38148)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MS | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 22 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | MS | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Nephrology, Internal Medicine | TN | |
| N E P H R O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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