Heather Stafford, | |
1340 N Grundy Quarles Hwy, Gainesboro, TN 38562-6001 | |
(931) 268-0291 | |
Not Available |
Full Name | Heather Stafford |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1340 N Grundy Quarles Hwy, Gainesboro, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891551784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 35808 (Tennessee) | Primary |
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20160607002194 |
Mailing Address | Practice Location Address |
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Heather Stafford, 972 Haydenburg Rd, Whitleyville, TN 38588-7059 Ph: () - | Heather Stafford, 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562-6001 Ph: (931) 268-0291 |
Kristi Malena Lafever, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Hospital Dr, Gainesboro, TN 38562 Phone: 859-433-5691 | |
Mrs. Margie A Stafford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 N Murray St, Jackson County Health Dept, Gainesboro, TN 38562 Phone: 931-268-0218 Fax: 931-268-0872 | |
Mrs. Melissa C Ross, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 E Gore Ave, Gainesboro, TN 38562 Phone: 931-268-6899 |