Mrs Lillian T Robertson, FNP | |
403 E University Street, Livingston, TN 35870-0001 | |
(931) 403-5939 | |
(931) 403-5940 |
Full Name | Mrs Lillian T Robertson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 403 E University Street, Livingston, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053303230 | NPI | - | NPPES |
3345734 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN0000005302 (Tennessee) | Primary |
Entity Name | Jamestown Family Care Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578812087 PECOS PAC ID: 9032360839 Enrollment ID: O20121102000356 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lillian T Robertson, FNP 403 E University St, Livingston, TN 38570-1511 Ph: (931) 403-5939 | Mrs Lillian T Robertson, FNP 403 E University Street, Livingston, TN 35870-0001 Ph: (931) 403-5939 |
Jacinda Marie Delk, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-823-8203 | |
Gabriel Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-4016 | |
Sherri C Depriest, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 521 Medical Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574 | |
Rebecca Willie Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5880 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-6260 | |
Kelli Carr, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203 | |
Kendra Simonds, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 W Main St, Livingston, TN 38570 Phone: 931-219-2091 |