Jeremy Shaun Whited, | |
940 E Lee Hwy, Chilhowie, VA 24319-3237 | |
(276) 880-5629 | |
Not Available |
Full Name | Jeremy Shaun Whited |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 940 E Lee Hwy, Chilhowie, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790534378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 36403 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024190211 (Virginia) | Primary |
Entity Name | Universal Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20120824000538 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Shaun Whited, 334 Carter St, Bluff City, TN 37618-2922 Ph: (276) 880-5629 | Jeremy Shaun Whited, 940 E Lee Hwy, Chilhowie, VA 24319-3237 Ph: (276) 880-5629 |
Mrs. Audrey Maria Anderson, MSN, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Chilhowie St, Chilhowie, VA 24319 Phone: 276-646-3241 | |
Mrs. Jennifer Jo Lowe, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Chilhowie St, Chilhowie, VA 24319 Phone: 276-646-3241 Fax: 276-646-2592 | |
Mrs. Rebecca Blevins Nash, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Chilhowie St, Chilhowie, VA 24319 Phone: 276-646-3241 Fax: 276-646-2592 | |
Kimberly Danielle Harding, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Lee Hwy, Chilhowie, VA 24319 Phone: 276-646-8220 | |
Megan Lee Henderson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Chilhowie Street, Chilhowie, VA 24319 Phone: 276-646-3241 | |
Teresa Thayer Emerson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 134 East Lee Highway, East Coast Occupational Medical Center, Chilhowie, VA 24319 Phone: 276-521-0534 Fax: 888-806-0971 |