Erica Henson, | |
788 Redmon Rd, Russell Springs, KY 42642-9520 | |
(270) 566-9031 | |
Not Available |
Full Name | Erica Henson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 788 Redmon Rd, Russell Springs, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720747298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3016930 (Kentucky) | Primary |
Entity Name | Taylor Regional Medical Group,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174697601 PECOS PAC ID: 4880616622 Enrollment ID: O20051221000527 |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652 |
Mailing Address | Practice Location Address |
---|---|
Erica Henson, 788 Redmon Rd, Russell Springs, KY 42642-9520 Ph: (270) 566-9031 | Erica Henson, 788 Redmon Rd, Russell Springs, KY 42642-9520 Ph: (270) 566-9031 |
Musa Mawanda, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Taylor Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 Wade Rd, Russell Springs, KY 42642 Phone: 270-585-0618 | |
Shannon Lee Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 456 Walls Rd, Russell Springs, KY 42642 Phone: 270-250-1040 | |
Shannon R Young, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Alisha A Knight, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Steve Dr, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Susan Bradshaw, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Road, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Brandi Lynee Mullins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 Whicker Dr, Russell Springs, KY 42642 Phone: 606-219-0542 |