Alicia S Whitley, MSN, APRN, FNP-C | |
9325 Dayton Pike, Soddy Daisy, TN 37379-4824 | |
(423) 451-4018 | |
(423) 451-4019 |
Full Name | Alicia S Whitley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9325 Dayton Pike, Soddy Daisy, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306238035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 162858 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 29124 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Services Of Memphis Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20031117000517 |
Entity Name | Fast Access Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063619997 PECOS PAC ID: 6406942101 Enrollment ID: O20071010000740 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Dx Mso Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
Entity Name | Grace Home Primary Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609281260 PECOS PAC ID: 3678798980 Enrollment ID: O20140630001351 |
Mailing Address | Practice Location Address |
---|---|
Alicia S Whitley, MSN, APRN, FNP-C 712 Timberwyck Dr, Hixson, TN 37343-3216 Ph: (423) 704-8661 | Alicia S Whitley, MSN, APRN, FNP-C 9325 Dayton Pike, Soddy Daisy, TN 37379-4824 Ph: (423) 451-4018 |
Patrice Vivienne Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 | |
Mr. Brandon Edmondson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2027 Ell Rd, Soddy Daisy, TN 37379 Phone: 423-605-9512 | |
Abbey Roe Elverd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 | |
Mrs. Lilly Esther Fotiadis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9826 Hixson Pike, Soddy Daisy, TN 37379 Phone: 423-847-6451 | |
Angela Fuller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1923 Port Royal Dr, Soddy Daisy, TN 37379 Phone: 423-602-1544 | |
Mr. Michael L Ascough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9389 Dayton Pike, Soddy Daisy, TN 37379 Phone: 225-757-1023 | |
Mrs. Amy Katherine Farlett, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 |