Kimberly R Ferguson, FNP | |
1861 Main St, Sneedville, TN 37869-3645 | |
(423) 733-2131 | |
(423) 733-1055 |
Full Name | Kimberly R Ferguson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1861 Main St, Sneedville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316943814 | NPI | - | NPPES |
3902002 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 104898 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN0000007174 (Tennessee) | Primary |
Entity Name | East Tennessee State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093990608 PECOS PAC ID: 2769394774 Enrollment ID: O20031212000403 |
Mailing Address | Practice Location Address |
---|---|
Kimberly R Ferguson, FNP Po Box 850, Rogersville, TN 37857-0850 Ph: (423) 272-9163 | Kimberly R Ferguson, FNP 1861 Main St, Sneedville, TN 37869-3645 Ph: (423) 733-2131 |
Vincent Anthony Bergamo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055 | |
Nancy P. Seal, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Main St, Sneedville, TN 37869 Phone: 423-439-4515 Fax: 423-439-4060 | |
Melinda Fleenor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 Main Street, Sneedville, TN 37869 Phone: 423-439-4515 Fax: 423-439-4515 | |
Lisa Ann Trent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055 | |
Kandi Sunshine Reece, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1861 Main St, Sneedville, TN 37869 Phone: 423-733-2131 Fax: 423-733-1055 | |
Mary Jo Robbins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375-c Court Street, Sneedville, TN 37869 Phone: 423-733-2121 Fax: 423-733-4563 |