Carolyn J Jimmerson, | |
102 Riverview Dr Ste A, Flowood, MS 39232-8908 | |
(601) 981-1610 | |
(601) 366-2887 |
Full Name | Carolyn J Jimmerson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 102 Riverview Dr Ste A, Flowood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558018598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | R868951 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 905623 (Mississippi) | Primary |
Entity Name | Central Nephrology Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942576277 PECOS PAC ID: 7517120595 Enrollment ID: O20120601000050 |
Mailing Address | Practice Location Address |
---|---|
Carolyn J Jimmerson, 102 Riverview Dr Ste A, Flowood, MS 39232-8908 Ph: (601) 981-1610 | Carolyn J Jimmerson, 102 Riverview Dr Ste A, Flowood, MS 39232-8908 Ph: (601) 981-1610 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808 | |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 | |
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 |