| Jennifer Riley, | |
|
2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | |
| (423) 201-9937 | |
| Not Available |
| Full Name | Jennifer Riley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2702 Jacksboro Pike, Jacksboro, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447875166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 27649 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 27649 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Velocity Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013352269 PECOS PAC ID: 1951541689 Enrollment ID: O20130701000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Riley, 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 Ph: (423) 201-9937 | Jennifer Riley, 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 Ph: (423) 201-9937 |
Anthony M. Kingsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 Perkins Ln, Jacksboro, TN 37757 Phone: 423-500-9140 Fax: 423-435-0828 | |
Stacy Jean Riggs, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757 Phone: 423-562-4149 Fax: 423-566-6929 | |
April D Rodriguez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Mountain Perkins Ln Ste 2, Jacksboro, TN 37757 Phone: 423-562-4149 | |
Katherine Gresham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 | |
Amy Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 Fax: 865-567-4722 | |
John Wesley Smiddy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2702 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-201-9937 Fax: 423-567-4722 |