Nicole Renee Ennis, PMHNP-BC | |
300 Kelly Rd, Pinehurst, NC 28374-8099 | |
(910) 420-0226 | |
Not Available |
Full Name | Nicole Renee Ennis |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 300 Kelly Rd, Pinehurst, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659925717 | NPI | - | NPPES |
Entity Name | Brook Lane Behavioral Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538647748 PECOS PAC ID: 5991055022 Enrollment ID: O20180911000549 |
Mailing Address | Practice Location Address |
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Nicole Renee Ennis, PMHNP-BC 100 Flyfoot Dr, Stephenson, VA 22656-1955 Ph: (304) 670-6877 | Nicole Renee Ennis, PMHNP-BC 300 Kelly Rd, Pinehurst, NC 28374-8099 Ph: (910) 420-0226 |
Heather Patterson Blackburn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-5511 | |
Sarah Elizabeth Weaver, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Regional Dr, Pinehurst, NC 28374 Phone: 910-255-4400 | |
Aemonn Barnes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-5000 | |
Michelle Marie Trexler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-2164 | |
Jens Kersten Palmer, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 293 Olmsted Blvd, Suite 4, Pinehurst, NC 28374 Phone: 910-295-3200 Fax: 910-295-3222 | |
Casey Burnette, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Regional Dr, Pinehurst, NC 28374 Phone: 910-295-5511 Fax: 910-235-3432 | |
Lillian Grace Schnitzer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Firstvillage Drive, Pinehurst, NC 28374 Phone: 910-295-6831 Fax: 910-295-0244 |