Carla London, FNP | |
332 N Lauderdale St, Memphis, TN 38105-2794 | |
(901) 495-3006 | |
(901) 495-3842 |
Full Name | Carla London |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 332 N Lauderdale St, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194710376 | NPI | - | NPPES |
421328709 | Medicaid | MO | |
200091420A | Medicaid | OK | |
161276758 | Medicaid | AR | |
3908965 | Medicaid | TN | |
5440878 | Medicaid | TN | |
84118 | Other | AR | BCBS AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 7101 (Tennessee) | Primary |
Entity Name | Urban Foot Care Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457611170 PECOS PAC ID: 3072765759 Enrollment ID: O20121203000285 |
Mailing Address | Practice Location Address |
---|---|
Carla London, FNP 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Carla London, FNP 332 N Lauderdale St, Memphis, TN 38105-2794 Ph: (901) 495-3006 |
Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711 | |
Mrs. Leslie Rhodes, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 N Dunlap St Ste 100, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-937-6681 | |
Gwendolyn Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Poplar Ave, Memphis, TN 38103 Phone: 901-545-2445 | |
Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715 | |
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598 | |
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391 | |
Teri Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 Hickory Hill Rd, Memphis, TN 38115 Phone: 901-881-6686 |