Mrs Natisha Kidwell, FNP | |
200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466 | |
(770) 534-2020 | |
(770) 534-8025 |
Full Name | Mrs Natisha Kidwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 S Enota Dr Ne Ste 200, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851772644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN208948 (Georgia) | Primary |
Entity Name | Georgia Heart Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477976520 PECOS PAC ID: 4183848062 Enrollment ID: O20140616001425 |
Mailing Address | Practice Location Address |
---|---|
Mrs Natisha Kidwell, FNP Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Mrs Natisha Kidwell, FNP 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466 Ph: (770) 534-2020 |
Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599 | |
Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 | |
Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 |