Mrs Lavern Banks Johnson, APN | |
360 E Eh Crump Blvd, Memphis, TN 38126-5310 | |
(901) 261-2000 | |
(901) 946-9262 |
Full Name | Mrs Lavern Banks Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 360 E Eh Crump Blvd, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144546516 | NPI | - | NPPES |
03472033 | Medicaid | MS | |
Q032334 | Medicaid | TN | |
20905 | Other | TN | TN LICENSE |
6129052 | Other | TN | BLUE CROSS BLUE SHIELD |
N1725089 | Other | TN | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 20905 (Tennessee) | Primary |
Entity Name | Memphis Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144236902 PECOS PAC ID: 7315859972 Enrollment ID: O20031103000245 |
Entity Name | Christ Community Health Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982686614 PECOS PAC ID: 3870402084 Enrollment ID: O20040528000468 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lavern Banks Johnson, APN 360 E Eh Crump Blvd, Memphis, TN 38126-5394 Ph: (901) 261-2000 | Mrs Lavern Banks Johnson, APN 360 E Eh Crump Blvd, Memphis, TN 38126-5310 Ph: (901) 261-2000 |
Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711 | |
Mrs. Leslie Rhodes, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 N Dunlap St Ste 100, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-937-6681 | |
Gwendolyn Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Poplar Ave, Memphis, TN 38103 Phone: 901-545-2445 | |
Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715 | |
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598 | |
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391 | |
Teri Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 Hickory Hill Rd, Memphis, TN 38115 Phone: 901-881-6686 |