| Mrs Karissa V Shields, PA-C | |
|
111 Otis Smith Dr, Clarksville, TN 37043-8940 | |
| (931) 553-6666 | |
| (931) 553-6681 |
| Full Name | Mrs Karissa V Shields |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 111 Otis Smith Dr, Clarksville, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467843011 | NPI | - | NPPES |
| 100504311 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1586 (Nevada) | Secondary |
| 363A00000X | Physician Assistant | 6144 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Karissa V Shields, PA-C 111 Otis Smith Dr, Clarksville, TN 37043-8940 Ph: (931) 553-6666 | Mrs Karissa V Shields, PA-C 111 Otis Smith Dr, Clarksville, TN 37043-8940 Ph: (931) 553-6666 |
Mr. Ronald Allen Carden, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 Wilma Rudolph Blvd., Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842 | |
Mrs. Jenny Lee Robinson, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 980 Professional Park Dr, Suite A, Clarksville, TN 37040 Phone: 931-905-1001 Fax: 931-905-0410 | |
Inessa Pavlovna Brooks, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 980 Professional Park Dr, Suite A, Clarksville, TN 37040 Phone: 931-905-1001 Fax: 931-905-0410 | |
Amanda Maria Bahnam, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 647 Dunlop Ln Ste 210, Clarksville, TN 37040 Phone: 931-502-3810 Fax: 931-502-2512 | |
Mr. Ronald Kerry Brawley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1771 Madison St, Suite 210, Clarksville, TN 37043 Phone: 931-551-1507 Fax: 931-551-1505 | |
Destinee Briana Fowler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042 Phone: 615-553-5000 Fax: 615-758-3875 | |
Niti Patel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 274 Clear Sky Ct, Clarksville, TN 37043 Phone: 601-808-0051 |