Dr Lisa Ousley, DNP | |
365 Stout Dr. Suite 160, Johnson City, TN 37614-1709 | |
(423) 929-2930 | |
Not Available |
Full Name | Dr Lisa Ousley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 365 Stout Dr. Suite 160, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033214739 | NPI | - | NPPES |
007786093 | Medicaid | VA | |
1522794 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 24000013 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0000015032 (Tennessee) | Primary |
Entity Name | My Doctors Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497183941 PECOS PAC ID: 2860620580 Enrollment ID: O20140102000038 |
Mailing Address | Practice Location Address |
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Dr Lisa Ousley, DNP 365 Stout Drive, Johnson City, TN 37601-4824 Ph: (423) 929-2930 | Dr Lisa Ousley, DNP 365 Stout Dr. Suite 160, Johnson City, TN 37614-1709 Ph: (423) 929-2930 |
Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583 | |
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227 | |
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199 | |
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720 | |
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557 |