Kendra D Grissom, NP | |
10777 Highway 412 W, Lexington, TN 38351-6283 | |
(731) 968-5558 | |
(731) 968-5567 |
Full Name | Kendra D Grissom |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 10777 Highway 412 W, Lexington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487190112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 22181 (Tennessee) | Primary |
Entity Name | Lentz Pediatrics, Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467637611 PECOS PAC ID: 1254415334 Enrollment ID: O20080227000875 |
Mailing Address | Practice Location Address |
---|---|
Kendra D Grissom, NP 10777 Highway 412 W, Lexington, TN 38351-6283 Ph: (731) 968-5558 | Kendra D Grissom, NP 10777 Highway 412 W, Lexington, TN 38351-6283 Ph: (731) 968-5558 |
Carol R Luckey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E Church St, Lexington, TN 38351 Phone: 731-968-0146 Fax: 731-968-9398 | |
Pamela Clover Brunson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16570 Highway 104 N, Ste B, Lexington, TN 38351 Phone: 731-968-2233 | |
Hillary Blankenship, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 N Broad St, Lexington, TN 38351 Phone: 731-967-8813 | |
Mrs. Brandy Bartholomew, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 W Church St, Lexington, TN 38351 Phone: 731-968-8182 Fax: 731-968-8185 | |
Mrs. Janice Kay Mccormick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1560 North Broad St, Lexington, TN 38351 Phone: 731-967-8813 Fax: 731-967-8815 | |
Ashley Kate Melton, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10777 Highway 412 W, Lexington, TN 38351 Phone: 731-968-5558 Fax: 731-968-5567 | |
Mrs. Elizabeth Ann Snider, CPNP-PC, RN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10777 Highway 412 W, Lexington, TN 38351 Phone: 731-968-5558 |