Ms Roseann Taylor Gray, MSN, APRN, FNP-C | |
165 Dale St, Red Boiling Springs, TN 37150-2102 | |
(615) 699-3169 | |
(615) 666-3022 |
Full Name | Ms Roseann Taylor Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 165 Dale St, Red Boiling Springs, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497287304 | NPI | - | NPPES |
Q030943 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3014497 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN0000022200 (Tennessee) | Primary |
Entity Name | Edna L Woodard |
---|---|
Entity Type | Practitioner - Nurse Practitioner |
Entity Identifiers | NPI Number: 1467483164 PECOS PAC ID: 2264406636 Enrollment ID: I20040823000081 |
Entity Name | Shc Medical Partners Of Tennessee, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609051895 PECOS PAC ID: 1951487826 Enrollment ID: O20080318000852 |
Entity Name | The Little Clinic Of Tennessee Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487848800 PECOS PAC ID: 4688762800 Enrollment ID: O20080326000339 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
Entity Name | 3 Ple O Llpc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508488800 PECOS PAC ID: 1557788460 Enrollment ID: O20200824001761 |
Entity Name | Abode Care Partners Ltc Vb, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972372225 PECOS PAC ID: 8325316516 Enrollment ID: O20240129001302 |
Mailing Address | Practice Location Address |
---|---|
Ms Roseann Taylor Gray, MSN, APRN, FNP-C 165 Dale St, Red Boiling Springs, TN 37150-2102 Ph: (615) 699-3169 | Ms Roseann Taylor Gray, MSN, APRN, FNP-C 165 Dale St, Red Boiling Springs, TN 37150-2102 Ph: (615) 699-3169 |
Shalena Natasha Bray, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Spivey St, Red Boiling Springs, TN 37150 Phone: 615-699-7425 Fax: 615-699-7427 | |
Mrs. Edna Lynn Woodard, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Dale Street, Red Boiling Springs, TN 37150 Phone: 615-699-3169 Fax: 615-399-3198 |