| Mrs Amanda Denise Polman, RN, BSN, FNP | |
|
701 E Reelfoot Ave Ste 100, Union City, TN 38261-5886 | |
| (731) 885-9687 | |
| Not Available |
| Full Name | Mrs Amanda Denise Polman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 701 E Reelfoot Ave Ste 100, Union City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801595764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000035799 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN0000195881 (Tennessee) | Secondary |
| Entity Name | Terrell Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581744 PECOS PAC ID: 6204912645 Enrollment ID: O20080325000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Denise Polman, RN, BSN, FNP 701 E Reelfoot Ave Ste 100, Union City, TN 38261-5886 Ph: (731) 885-9687 | Mrs Amanda Denise Polman, RN, BSN, FNP 701 E Reelfoot Ave Ste 100, Union City, TN 38261-5886 Ph: (731) 885-9687 |
Alicia Nicole Jernigan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1020 E Reelfoot Ave Ste 201, Union City, TN 38261 Phone: 901-271-1000 | |
Mrs. Tracey Kizer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Sherrill St, Suite B, Union City, TN 38261 Phone: 731-884-3900 Fax: 731-884-3901 | |
Amy K Harris, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1109 E Reelfoot Ave Ste F, Union City, TN 38261 Phone: 731-884-1412 Fax: 731-884-1720 | |
Amanda Lee Keown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1412 E Reelfoot Ave, Union City, TN 38261 Phone: 731-885-5131 | |
Mrs. Kimberly Kaye Crowell, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1720 E Reelfoot Ave Ste 200, Union City, TN 38261 Phone: 731-507-0272 Fax: 731-507-0273 | |
Jennifer Renee Vancleave, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 702 Sherrill St, Union City, TN 38261 Phone: 731-885-8884 Fax: 731-599-2111 | |
Mrs. Kristina Pollock, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1705 W Reelfoot Ave, Union City, TN 38261 Phone: 731-599-1102 |