| Phoenix Health And Wellness | |
|
1505 Woodlawn Ave Ste A Dyersburg TN 38024-3134 | |
| (731) 478-6064 | |
| (731) 478-6067 |
| Full Name | Phoenix Health And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 1505 Woodlawn Ave Ste A, Dyersburg, Tennessee |
| Authorized Official Name and Position | Jennifer Mcfarland (OWNER) |
| Authorized Official Contact | 7314143450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Health And Wellness 1505 Woodlawn Ave Ste A Dyersburg TN 38024-3134 Ph: (731) 414-3450 | Phoenix Health And Wellness 1505 Woodlawn Ave Ste A Dyersburg TN 38024-3134 Ph: (731) 478-6064 |
| NPI Number | 1740068162 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 7012365901 |
|---|---|
| Medicare Enrollment ID | O20231204001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740068162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912114281 PECOS PAC ID: 2365530508 Enrollment ID: I20071121000334 |
| Provider Name | Michelle Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669850384 PECOS PAC ID: 4082054325 Enrollment ID: I20240502003419 |
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