Cristal Mae Harrison, | |
1301 N Race St, Glasgow, KY 42141-3483 | |
(270) 651-4444 | |
Not Available |
Full Name | Cristal Mae Harrison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1301 N Race St, Glasgow, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720713407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3017564 (Kentucky) | Primary |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
Mailing Address | Practice Location Address |
---|---|
Cristal Mae Harrison, 1210 Red Cross Rd, Park City, KY 42160-7530 Ph: (270) 590-5603 | Cristal Mae Harrison, 1301 N Race St, Glasgow, KY 42141-3483 Ph: (270) 651-4444 |
Mr. James Isenberg, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Professional Park Dr, Glasgow, KY 42141 Phone: 270-392-3661 Fax: 580-297-9310 | |
Mrs. Britney M. Jackson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Physicians Blvd Ste B, Glasgow, KY 42141 Phone: 270-629-6722 Fax: 270-629-6723 | |
Taryn Alycia Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4444 | |
Mrs. Beverly Jo Mortimer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 N Race St, Glasgow, KY 42141 Phone: 270-629-5111 Fax: 270-783-3760 | |
Mr. Michael L Pendleton Sr., APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1412 N Race St, Glasgow, KY 42141 Phone: 270-629-6333 Fax: 270-629-6334 | |
Tarah Jo Mathews, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Broadway St, Glasgow, KY 42141 Phone: 270-861-0606 Fax: 270-629-2444 | |
Mrs. Kimberly A Bowman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-1888 Fax: 270-651-1889 |