Lekenya Miriam Nuttall, FNP-C | |
415 Us Highway 49 N, Tutwiler, MS 38963-5091 | |
(662) 345-6567 | |
Not Available |
Full Name | Lekenya Miriam Nuttall |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 415 Us Highway 49 N, Tutwiler, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710536636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 903390 (Mississippi) | Primary |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
Mailing Address | Practice Location Address |
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Lekenya Miriam Nuttall, FNP-C Po Box 46, Ruleville, MS 38771-0046 Ph: (662) 402-2351 | Lekenya Miriam Nuttall, FNP-C 415 Us Highway 49 N, Tutwiler, MS 38963-5091 Ph: (662) 345-6567 |
Mrs. Maria Luisa Ozua, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Alma St, Tutwiler, MS 38963 Phone: 662-345-8334 | |
Sabrina Gail Easter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Alma St, Tutwiler, MS 38963 Phone: 662-345-8334 | |
Pattye Dorris, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Us Highway 49 N, Tutwiler, MS 38963 Phone: 662-645-6567 | |
Eileen Breen, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Alma St, Tutwiler Clinic, Tutwiler, MS 38913 Phone: 662-345-8331 Fax: 662-345-8336 |