Kayla Renee Maddox, FNP-C | |
144 Medical Center Dr Ste B, Copperhill, TN 37317-5006 | |
(423) 496-9214 | |
(423) 496-7809 |
Full Name | Kayla Renee Maddox |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 144 Medical Center Dr Ste B, Copperhill, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326811258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 35115 (Tennessee) | Primary |
Entity Name | Mahmood A Siddiqui Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427070523 PECOS PAC ID: 6305941535 Enrollment ID: O20070417000666 |
Mailing Address | Practice Location Address |
---|---|
Kayla Renee Maddox, FNP-C 140 Croft Chapel Rd, Turtletown, TN 37391-4407 Ph: (423) 241-2822 | Kayla Renee Maddox, FNP-C 144 Medical Center Dr Ste B, Copperhill, TN 37317-5006 Ph: (423) 496-9214 |
Stacie Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 144 Medical Center Dr, Suite B, Copperhill, TN 37317 Phone: 423-496-9214 Fax: 423-496-7809 | |
Tiffany Boring, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Grand Ave, Copperhill, TN 37317 Phone: 423-548-1000 Fax: 423-548-1002 | |
Kayla Marie Holder, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 144 Medical Center Dr, Copperhill, TN 37317 Phone: 423-496-9214 | |
Bethany Whitener, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Grand Ave, Copperhill, TN 37317 Phone: 423-548-1000 Fax: 423-548-1002 |