Mrs Alisha Boutwell Tenhet, FNP-C | |
301 Lamar St, Kilmichael, MS 39747-9002 | |
(662) 262-5577 | |
(662) 262-5580 |
Full Name | Mrs Alisha Boutwell Tenhet |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 301 Lamar St, Kilmichael, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487900098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R872184 (Mississippi) | Primary |
Entity Name | North Mississippi Medical Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
Entity Name | Webster Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982719621 PECOS PAC ID: 6901892421 Enrollment ID: O20040421001047 |
Entity Name | Och Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225202666 PECOS PAC ID: 9739252396 Enrollment ID: O20080716000169 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alisha Boutwell Tenhet, FNP-C 301 Lamar St, Kilmichael, MS 39747-9002 Ph: (662) 262-5577 | Mrs Alisha Boutwell Tenhet, FNP-C 301 Lamar St, Kilmichael, MS 39747-9002 Ph: (662) 262-5577 |
Lajoyce Stewart, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Lamar St, Kilmichael, MS 39747 Phone: 662-262-5577 Fax: 662-262-5580 | |
Wade Henson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Lamar St, Kilmichael, MS 39747 Phone: 662-262-5577 Fax: 662-262-5580 |