Jenny Jean Gordon, CRNP | |
2330 Thornton Taylor Pkwy Ste B, Fayetteville, TN 37334-3673 | |
(931) 227-4984 | |
(931) 227-4985 |
Full Name | Jenny Jean Gordon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2330 Thornton Taylor Pkwy Ste B, Fayetteville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740937325 | NPI | - | NPPES |
0000031101 | Other | TN | APRN LICENSE |
0000148760 | Other | TN | RN LICENSE |
1-104021 | Other | AL | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0000031101 (Tennessee) | Primary |
Entity Name | Sarah Moon Thelen Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689971525 PECOS PAC ID: 5698959880 Enrollment ID: O20110413000313 |
Mailing Address | Practice Location Address |
---|---|
Jenny Jean Gordon, CRNP 2330 Thornton Taylor Pkwy Ste B, Fayetteville, TN 37334-3673 Ph: (931) 227-4984 | Jenny Jean Gordon, CRNP 2330 Thornton Taylor Pkwy Ste B, Fayetteville, TN 37334-3673 Ph: (931) 227-4984 |
Jennifer Ward, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1321 Huntsville Hwy, Fayetteville, TN 37334 Phone: 931-297-2201 Fax: 931-297-2206 | |
Dr. Walter Charles Bennett Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2310 Thornton Taylor Pkwy Ste C, Fayetteville, TN 37334 Phone: 931-251-3009 | |
Michelle Angelica Guthrie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1321 Huntsville Hwy, Fayetteville, TN 37334 Phone: 256-924-9846 | |
Kara L Hall, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Elk Ave S, Fayetteville, TN 37334 Phone: 931-433-2551 Fax: 931-438-0069 | |
Augusta Nell Pierce, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Medical Center Blvd Ste G50, Fayetteville, TN 37334 Phone: 931-438-4111 | |
Stephanie R Rives, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Ivy Dr, Fayetteville, TN 37334 Phone: 931-580-7947 | |
Julie L Styles, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1321 Huntsville Hwy, Fayetteville, TN 37334 Phone: 931-297-2201 Fax: 931-297-2206 |