Mrs Jill Leverette, FNP | |
100 E Monroe St, Grenada, MS 38901-5249 | |
(662) 226-0600 | |
Not Available |
Full Name | Mrs Jill Leverette |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 100 E Monroe St, Grenada, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952734139 | NPI | - | NPPES |
07538740 | Medicaid | MS | |
R864224 | Other | MS | MISSISSIPPI BOARD OF NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R864224 (Mississippi) | Primary |
Entity Name | Wcs Professional Services Of Mississippi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265785455 PECOS PAC ID: 3476790502 Enrollment ID: O20130509000499 |
Entity Name | Quick Care Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386035202 PECOS PAC ID: 2961713748 Enrollment ID: O20150619001722 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jill Leverette, FNP 100 E Monroe St, Grenada, MS 38901-5249 Ph: (662) 226-0600 | Mrs Jill Leverette, FNP 100 E Monroe St, Grenada, MS 38901-5249 Ph: (662) 226-0600 |
Kelsey Marter Faulkner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Avent Dr, Grenada, MS 38901 Phone: 601-815-2005 | |
Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929 | |
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419 | |
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-349-2442 Fax: 662-349-8551 | |
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740 | |
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110 | |
Ralph T Cain, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104 |