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: 2545 Jacksboro Pike, Jacksboro, TN 37757 Phone: 423-566-8181 Fax: 423-562-9692 | |
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 | |
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 | |
Mary Kate Moore, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2707 Jacksboro Pike, Suite 1a, Jacksboro, TN 37757 Phone: 423-907-8186 Fax: 423-907-8187 |