Patrice Vivienne Henry, APRN | |
210 Walmart Dr, Soddy Daisy, TN 37379-5022 | |
(423) 332-6155 | |
(423) 332-5293 |
Full Name | Patrice Vivienne Henry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 210 Walmart Dr, Soddy Daisy, Tennessee |
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 |
---|---|---|---|
1063989150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN0000024554 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orange Grove Center Inc | 1850299124 | 2 |
Entity Name | Orange Grove Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073668653 PECOS PAC ID: 1850299124 Enrollment ID: O20031223000480 |
Entity Name | Memorial Health Partners Foundation, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
Entity Name | Crossroads Urgent Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672 |
Mailing Address | Practice Location Address |
---|---|
Patrice Vivienne Henry, APRN 30 Burton Hills Blvd, Ste 175, Nashville, TN 37215-6403 Ph: (615) 988-2014 | Patrice Vivienne Henry, APRN 210 Walmart Dr, Soddy Daisy, TN 37379-5022 Ph: (423) 332-6155 |
Mr. Brandon Edmondson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2027 Ell Rd, Soddy Daisy, TN 37379 Phone: 423-605-9512 | |
Abbey Roe Elverd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 | |
Mrs. Lilly Esther Fotiadis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9826 Hixson Pike, Soddy Daisy, TN 37379 Phone: 423-847-6451 | |
Angela Fuller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1923 Port Royal Dr, Soddy Daisy, TN 37379 Phone: 423-602-1544 | |
Mr. Michael L Ascough, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9389 Dayton Pike, Soddy Daisy, TN 37379 Phone: 225-757-1023 | |
Mrs. Amy Katherine Farlett, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Walmart Dr, Soddy Daisy, TN 37379 Phone: 423-332-6155 Fax: 423-332-5293 |