Mrs Kylie Danielle Blackett, NP | |
3500 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122-3059 | |
(615) 758-5672 | |
Not Available |
Full Name | Mrs Kylie Danielle Blackett |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3500 N Mount Juliet Rd Ste 201, Mount Juliet, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508505983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31898 (Tennessee) | Primary |
163W00000X | Registered Nurse | 191152 (Tennessee) | Secondary |
Entity Name | West Wilson Family Practice Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598779837 PECOS PAC ID: 1355319435 Enrollment ID: O20040917000558 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kylie Danielle Blackett, NP 3500 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122-3059 Ph: (615) 975-9543 | Mrs Kylie Danielle Blackett, NP 3500 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122-3059 Ph: (615) 758-5672 |
Mrs. Katherine W Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2025 N Mount Juliet Rd, Suite 120, Mount Juliet, TN 37122 Phone: 615-773-2712 Fax: 615-773-2707 | |
Dr. Cameron A Shearer Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 N Mount Juliet Rd, Mount Juliet, TN 37122 Phone: 615-758-5672 Fax: 615-758-5609 | |
Dr. Marthe-sophie Lagueux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 N Mount Juliet Rd, Mount Juliet, TN 37122 Phone: 615-758-5672 Fax: 615-758-5609 | |
James Courtney Wilson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Old Pleasant Grove Rd, Mount Juliet, TN 37122 Phone: 629-255-2494 Fax: 629-255-4264 | |
Dr. Bernard Pare', M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 N Mount Juliet Rd, Mount Juliet, TN 37122 Phone: 615-758-5672 Fax: 615-758-5609 |