| Breena Reid Till, CRNP | |
|
713 J L Chestnut Blvd, Selma, AL 36702-2213 | |
| (334) 874-7428 | |
| Not Available |
| Full Name | Breena Reid Till |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 713 J L Chestnut Blvd, Selma, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376976183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-113849 (Alabama) | Primary |
| Entity Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
| Entity Name | Rural Health Medical Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437238151 PECOS PAC ID: 0143219196 Enrollment ID: O20040506001178 |
| Entity Name | Community Hospital Of Andalusia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821078494 PECOS PAC ID: 3173591617 Enrollment ID: O20040922000319 |
| Entity Name | Andalusia Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437202009 PECOS PAC ID: 7315043007 Enrollment ID: O20070425000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Breena Reid Till, CRNP 867 County Road 59, Pine Apple, AL 36768-3525 Ph: (251) 746-2197 | Breena Reid Till, CRNP 713 J L Chestnut Blvd, Selma, AL 36702-2213 Ph: (334) 874-7428 |
Jewels M Knight, FNP-C, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 Fax: 334-526-3241 | |
Kelly Butler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 | |
Tacarla Shantese Pearson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy Ste 200, Selma, AL 36701 Phone: 334-875-4184 | |
Terry Dunson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-418-6646 Fax: 334-418-6647 | |
Tamarah Mason, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 Vaughan Memorial Dr, Selma, AL 36701 Phone: 334-375-8007 Fax: 334-526-1849 | |
Mrs. Monica Boswell Moore, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Medical Center Parkway, Selma, AL 36701 Phone: 334-418-4150 Fax: 334-418-3592 | |
Geraldine Davis Turner, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4258 Us Highway 80 W, Selma, AL 36701 Phone: 334-874-8800 |