Mrs Kimberly M Stanley, FNP | |
285 Ivie Ln, Mantachie, MS 38855-9764 | |
(662) 282-4197 | |
(662) 282-5121 |
Full Name | Mrs Kimberly M Stanley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 285 Ivie Ln, Mantachie, Mississippi |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770824955 | NPI | - | NPPES |
05838803 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R858096 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Family Healthcare Inc | 3476578196 | 2 |
Entity Name | Community Family Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891907093 PECOS PAC ID: 3476578196 Enrollment ID: O20051012000340 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly M Stanley, FNP 280 Ferguson Lake Rd, Marietta, MS 38856-6068 Ph: (662) 401-3066 | Mrs Kimberly M Stanley, FNP 285 Ivie Ln, Mantachie, MS 38855-9764 Ph: (662) 282-4197 |
Ms. Bonnie Renee' Jones, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121 | |
Madison Leigh Carrell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5681 Ms-363, Mantachie, MS 38855 Phone: 662-282-4226 | |
Austin Harbor Black, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 | |
Susan Long Newell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555 | |
Nativel J Collins, CFNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555 Fax: 877-254-0552 | |
Crystal Jo Nichols, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121 | |
Amy Lynn Floyd, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946 |