Jeannie Maria Mattingly, APRN | |
125 S Main Cross St, Louisa, KY 41230-1065 | |
(606) 638-0938 | |
(859) 813-5394 |
Full Name | Jeannie Maria Mattingly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 125 S Main Cross St, Louisa, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326314824 | NPI | - | NPPES |
7100233430 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3007362 (Kentucky) | Primary |
Entity Name | Fast Pace Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
Mailing Address | Practice Location Address |
---|---|
Jeannie Maria Mattingly, APRN 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 | Jeannie Maria Mattingly, APRN 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 |
Mr. Charlie James France Ii, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Three Rivers Medical Center, Hwy 644, Louisa, KY 41230 Phone: 606-638-9451 | |
Amanda Lee Parks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 203 S Water St, Louisa, KY 41230 Phone: 606-649-2211 | |
Debra J Ansinelli, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2483 Highway 644, Suite 103, Louisa, KY 41230 Phone: 606-638-9954 Fax: 606-638-3595 | |
Lauren E Whitaker, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Tina Dulsena Turner, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Tyrone Morris, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Madison St, Louisa, KY 41230 Phone: 606-471-4184 | |
Audrey Ann Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 |