Mrs Victoria Brooke Ivy, FNP-C | |
1894 Cedar St, Mc Kenzie, TN 38201-2206 | |
(731) 207-6496 | |
Not Available |
Full Name | Mrs Victoria Brooke Ivy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1894 Cedar St, Mc Kenzie, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235918947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 34621 (Tennessee) | Primary |
Entity Name | Mckenzie Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
Mailing Address | Practice Location Address |
---|---|
Mrs Victoria Brooke Ivy, FNP-C 273 Mebanewood Dr, Huntingdon, TN 38344-2910 Ph: (731) 415-0364 | Mrs Victoria Brooke Ivy, FNP-C 1894 Cedar St, Mc Kenzie, TN 38201-2206 Ph: (731) 207-6496 |
Lori B Holladay, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Beth Mitchell Graves, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Gyu Chang Jo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Meredith Ann Brown, NP-C, CHPN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Leslie Leeann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Oak Manor Rd, Mc Kenzie, TN 38201 Phone: 731-394-1145 | |
Briana Page Chandler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 |