Ashley Trussell Croom, NP | |
2507a Old Brandon Rd, Pearl, MS 39208-4604 | |
(601) 531-8020 | |
Not Available |
Full Name | Ashley Trussell Croom |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2507a Old Brandon Rd, Pearl, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295396661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 903405 (Mississippi) | Primary |
Entity Name | Centerwell Senior Primary Care Ms Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841902830 PECOS PAC ID: 0143694190 Enrollment ID: O20230315000489 |
Mailing Address | Practice Location Address |
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Ashley Trussell Croom, NP 2507a Old Brandon Rd, Pearl, MS 39208-4604 Ph: (601) 531-8020 | Ashley Trussell Croom, NP 2507a Old Brandon Rd, Pearl, MS 39208-4604 Ph: (601) 531-8020 |
Deidra Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020 | |
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246 | |
Jade Alexandra Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124 | |
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 |