Michele Tidwell Cole, FNP | |
151 Medical Park Dr, Jefferson, NC 28640-9560 | |
(336) 246-7161 | |
(336) 835-4761 |
Full Name | Michele Tidwell Cole |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 151 Medical Park Dr, Jefferson, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396939443 | NPI | - | NPPES |
Entity Name | Wake Forest Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
Entity Name | Blue Ridge Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467993931 PECOS PAC ID: 9436159712 Enrollment ID: O20070110000601 |
Mailing Address | Practice Location Address |
---|---|
Michele Tidwell Cole, FNP 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-1331 | Michele Tidwell Cole, FNP 151 Medical Park Dr, Jefferson, NC 28640-9560 Ph: (336) 246-7161 |
Amanda Dancy Bundy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Hospital Avenue, Jefferson, NC 28643 Phone: 336-846-6322 | |
Robin Arlene Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 Medical Park Dr., Jefferson, NC 28640 Phone: -- | |
Emily Michelle Denny, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 Mcconnell St, Jefferson, NC 28640 Phone: 336-246-9449 Fax: 336-246-8163 | |
Cathy Griffitts Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Ave Ste 3, Jefferson, NC 28640 Phone: 336-846-7433 Fax: 336-846-7878 | |
Mrs. Rebecca Scoggin Clark, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 413 Mcconnell Street, Jefferson, NC 28640 Phone: 336-246-9449 Fax: 336-246-8163 | |
Mrs. Miranda Lyalls Jordan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 Hospital Ave, Jefferson, NC 28640 Phone: 336-846-6322 |