Mr Edwin Simon, NP | |
2004 Hwy 47 N, White Bluff, TN 37187-4100 | |
(615) 797-3646 | |
(615) 797-4055 |
Full Name | Mr Edwin Simon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2004 Hwy 47 N, White Bluff, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609806256 | NPI | - | NPPES |
3908147 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN6734 (Tennessee) | Primary |
Entity Name | State Of Tennessee |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487791315 PECOS PAC ID: 5698687077 Enrollment ID: O20031104000309 |
Mailing Address | Practice Location Address |
---|---|
Mr Edwin Simon, NP 2004 Hwy 47 N, White Bluff, TN 37187-4100 Ph: (615) 797-3646 | Mr Edwin Simon, NP 2004 Hwy 47 N, White Bluff, TN 37187-4100 Ph: (615) 797-3646 |
Amber Dawn Lee, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1016 Jordan Cir, White Bluff, TN 37187 Phone: 615-947-5665 | |
Ashley E O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2004 Highway 47 N, White Bluff, TN 37187 Phone: 615-908-3680 Fax: 615-908-3679 | |
Ms. Lori Ann Green, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2004 Highway 47 N, White Bluff, TN 37187 Phone: 615-908-3680 Fax: 615-908-3679 | |
Megan Snider, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4335 Hwy 70 E, White Bluff, TN 37187 Phone: 615-797-1418 Fax: 615-797-1421 | |
Millie Tremlett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1923 Cedar Hill Rd, White Bluff, TN 37187 Phone: 615-347-0495 | |
Mrs. Cindy Michelle Norman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2004 Highway 47 N, White Bluff, TN 37187 Phone: 615-908-3680 Fax: 615-908-3679 |