Lisa Terrell, | |
902 Sgt. John Pittman Drive, Greenwood, MS 38930-2800 | |
(662) 207-5657 | |
Not Available |
Full Name | Lisa Terrell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 902 Sgt. John Pittman Drive, Greenwood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225447923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R850223 (Mississippi) | Primary |
Entity Name | Bolivar Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063659530 PECOS PAC ID: 6305995895 Enrollment ID: O20090512000274 |
Entity Name | Monogram Health Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326655986 PECOS PAC ID: 4880004183 Enrollment ID: O20210111001028 |
Mailing Address | Practice Location Address |
---|---|
Lisa Terrell, 902 Sgt. John Pittman Drive, Greenwood, MS 38930-2800 Ph: (662) 207-5657 | Lisa Terrell, 902 Sgt. John Pittman Drive, Greenwood, MS 38930-2800 Ph: (662) 207-5657 |
Ms. Kara Austin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 Tallahatchie St, Greenwood, MS 38930 Phone: 662-453-2626 | |
William Jesse Hodnett Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000 | |
Mrs. Tonya Mayers-sherman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-1234 | |
Mrs. Sabrina Brown Matthews, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000 | |
Heather Henderson Wilkey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 706 Highway 82 W, Suite B, Greenwood, MS 38930 Phone: 662-459-2181 Fax: 662-459-2182 | |
Mrs. Brandy G Smith, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Highway 82 E, Greenwood, MS 38930 Phone: 662-374-2185 Fax: 662-374-2195 | |
Stacey D Sprayberry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Us 82, Greenwood, MS 38930 Phone: 662-453-6323 Fax: 662-453-9238 |