Christy Renee Elliott, APRN | |
402 Cumberland Ave, Williamsburg, KY 40769-1238 | |
(606) 549-2656 | |
Not Available |
Full Name | Christy Renee Elliott |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 402 Cumberland Ave, Williamsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275247306 | NPI | - | NPPES |
4004534 | Other | KY | KY LICENSE |
7100905220 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | 1099206 (Kentucky) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 34175 (Kentucky) | Primary |
Entity Name | Dayspring Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013049469 PECOS PAC ID: 7214990746 Enrollment ID: O20041215000423 |
Mailing Address | Practice Location Address |
---|---|
Christy Renee Elliott, APRN 107 S Main St, Jellico, TN 37762-2154 Ph: (423) 784-8492 | Christy Renee Elliott, APRN 402 Cumberland Ave, Williamsburg, KY 40769-1238 Ph: (606) 549-2656 |
Mr. Allen Darrell Probus Jr., FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 896 S Highway 25w, Williamsburg, KY 40769 Phone: 606-376-9700 | |
Lisa Grubb, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2932 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-515-6051 | |
Mrs. Sheila Denise Lambdin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W Ste 100, Williamsburg, KY 40769 Phone: 606-549-2930 Fax: 606-549-3036 | |
Rebecca Banfield, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 896 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-515-6124 | |
Marcie Leigh Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 686 S Us-25w W, Williamsburg, KY 40769 Phone: 606-549-5052 Fax: 606-549-2718 | |
Keith David Mcdaniel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-386-4559 | |
Jennifer Marie Emery, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6178 College Station Dr, Williamsburg, KY 40769 Phone: 855-791-7199 |