Melissa B Davidson, | |
207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 | |
(812) 288-9141 | |
(812) 288-1023 |
Full Name | Melissa B Davidson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 207 Sparks Ave, Jeffersonville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043613656 | NPI | - | NPPES |
IN446560 | Other | IN | MEDICARE |
201339720 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28160307A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 28160307A (Indiana) | Primary |
Entity Name | Norton Clark Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083098651 PECOS PAC ID: 0840504114 Enrollment ID: O20150730011797 |
Entity Name | Norton Childrens Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326695255 PECOS PAC ID: 3779917596 Enrollment ID: O20200309001084 |
Mailing Address | Practice Location Address |
---|---|
Melissa B Davidson, Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 559-9337 | Melissa B Davidson, 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 Ph: (812) 288-9141 |
Lauren Nicole Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Hospital Blvd, Jeffersonville, IN 47130 Phone: 812-282-3899 Fax: 812-282-4172 | |
Elissa Vaughn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-6606 | |
Brandy Michelle Cook, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-284-2273 | |
Sara Bennett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Noahs Ln Bldg 215, Jeffersonville, IN 47130 Phone: 812-284-1760 Fax: 812-282-4316 | |
Virginia L Nisbet, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Spring St Ste 200, Jeffersonville, IN 47130 Phone: 812-288-8360 Fax: 812-288-8375 | |
Amy Irene Surber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Clinic #3975, 1002 Spring Street, Jeffersonville, IN 47130 Phone: 812-282-2256 | |
Bradford Nathanial Whitehead, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-2080 |