Brandy Harrison, APRN | |
400 N Pleasant Ave, Centralia, IL 62801-3056 | |
(618) 977-9616 | |
Not Available |
Full Name | Brandy Harrison |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 400 N Pleasant Ave, Centralia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487132387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.017900 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Entity Name | Touchette Regional Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019926 PECOS PAC ID: 7416843370 Enrollment ID: O20040226000538 |
Entity Name | Midwest Emergency Good Samaritan, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
Mailing Address | Practice Location Address |
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Brandy Harrison, APRN 24 Barrett Ct, Swansea, IL 62226-1124 Ph: (618) 977-9616 | Brandy Harrison, APRN 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 977-9616 |
Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811 | |
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063 | |
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 | |
Ms. Jessica Lynn Chapman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-532-1811 | |
Andrea Marie Johnson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042 | |
Stacy D Menees, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 432 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8300 | |
Janet Rose Merrell, MSN, APN, CNS, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |