Abby Provencal, APRN is a
Nurse Practitioner - Family based in Cosby, Tennessee. Abby Provencal is licensed to practice in Tennessee (license number 29912) and her current practice location is
842 Yellow Springs Rd, Cosby, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 721-2929.
NPI number for Abby Provencal is 1881267441 and her current mailing address is 842 Yellow Springs Rd, Cosby, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881267441.
Provider's Profile
| Full Name | Abby Provencal |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 842 Yellow Springs Rd, Cosby, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881267441
- Provider Enumeration Date: 07/21/2021
- Last Update Date: 07/21/2021
Medical Identifiers
Medical identifiers for Abby Provencal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881267441 | NPI | - | NPPES |
| 29912 | Other | TN | APRN LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 29912 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abby Provencal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Abby Provencal, APRN
842 Yellow Springs Rd,
Cosby, TN 37722-3443
Ph: () - | Abby Provencal, APRN
842 Yellow Springs Rd,
Cosby, TN 37722-3443
Ph: (423) 721-2929 |
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