Mrs Anna Carroll, FNP | |
409 Park Ave, Adamsville, TN 38310-2461 | |
(615) 673-6737 | |
(800) 474-4039 |
Full Name | Mrs Anna Carroll |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 409 Park Ave, Adamsville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104168889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 17508 (Tennessee) | Primary |
Entity Name | Hometown Healthcare Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568972495 PECOS PAC ID: 1456616101 Enrollment ID: O20180529003024 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anna Carroll, FNP 80 Enoch Blvd, Suite A, Savannah, TN 38372-2231 Ph: (731) 926-9600 | Mrs Anna Carroll, FNP 409 Park Ave, Adamsville, TN 38310-2461 Ph: (615) 673-6737 |
Mrs. Mandy R Russell, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 E Main St, Adamsville, TN 38310 Phone: 731-925-2300 Fax: 731-925-3506 | |
Amie Roland, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 E Main St, Adamsville, TN 38310 Phone: 731-632-5433 | |
Angela M Nixon, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 E Main St, Adamsville, TN 38310 Phone: 731-925-2300 |