| Ms Beverly Dawn Ellis, APRN | |
|
1484 Lakeside Drive, Jackson, KY 41339-6555 | |
| (606) 666-9950 | |
| (606) 666-9136 |
| Full Name | Ms Beverly Dawn Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1484 Lakeside Drive, Jackson, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124488903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010157 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Juniper Health Inc | 2961453618 | 21 |
| Entity Name | Juniper Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407818628 PECOS PAC ID: 2961453618 Enrollment ID: O20050214000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Beverly Dawn Ellis, APRN Po Box 690, Beattyville, KY 41311-0690 Ph: (606) 464-0151 | Ms Beverly Dawn Ellis, APRN 1484 Lakeside Drive, Jackson, KY 41339-6555 Ph: (606) 666-9950 |
Heather R Banks, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1484 Lakeside Dr, Jackson, KY 41339 Phone: 606-666-9950 Fax: 606-666-9136 | |
Mrs. Edna Elizabeth Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 832 Highway 15 N, Jackson, KY 41339 Phone: 606-666-5142 Fax: 606-666-4172 | |
Brittney Denise Herald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Jett Dr, Jackson, KY 41339 Phone: 606-666-6000 | |
Rebecca Mae Holbrook-watkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 424 Jett Dr, Jackson, KY 41339 Phone: 606-666-6600 Fax: 606-693-0534 | |
Courtney Brooke Addison, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1484 Lakeside Dr, Jackson, KY 41339 Phone: 606-666-9950 Fax: 606-666-9136 | |
Jacqueline Campbell, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 Highway 15 S Ste 240, Jackson, KY 41339 Phone: 606-824-5037 Fax: 606-824-5042 |