Mr Japeth Durham, FNP-BC | |
300 Stonecrest Blvd Ste 410, Smyrna, TN 37167-6802 | |
(615) 220-6144 | |
(615) 220-3663 |
Full Name | Mr Japeth Durham |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 300 Stonecrest Blvd Ste 410, Smyrna, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144556341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 164106 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14894 (Tennessee) | Primary |
Entity Name | Centennial Heart Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245393057 PECOS PAC ID: 9931204237 Enrollment ID: O20070416000188 |
Mailing Address | Practice Location Address |
---|---|
Mr Japeth Durham, FNP-BC 300 Stonecrest Blvd Ste 410, Smyrna, TN 37167-6802 Ph: (615) 220-6144 | Mr Japeth Durham, FNP-BC 300 Stonecrest Blvd Ste 410, Smyrna, TN 37167-6802 Ph: (615) 220-6144 |
Krista Delaine Gessler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13181 Old Nashville Hwy, Suite 150, Smyrna, TN 37167 Phone: 615-355-5105 Fax: 615-355-5195 | |
Caleb Fresh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Stonecrest Pkwy Ste 230, Smyrna, TN 37167 Phone: 152-239-9356 | |
Norma Jean Smith Richcreek, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Wolverine Trl Ste 201, Smyrna, TN 37167 Phone: 615-768-5511 | |
Mrs. Tehri Kellie Roberts, MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Stonecrest Blvd Ste 110, Smyrna, TN 37167 Phone: 615-223-6606 Fax: 615-223-6629 | |
Ms. Michele Renee Lee, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 739 President Pl, Smyrna, TN 37167 Phone: 615-459-3244 | |
Lisa C Wood, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1335 Rock Springs Rd, Suite 100, Smyrna, TN 37167 Phone: 615-459-5252 Fax: 615-459-5232 | |
Amanda Nicole Mason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167 Phone: 615-730-8626 Fax: 615-840-6169 |