Retha D Gentry, DNP | |
365 Stout Drive, Nicks Hall Room 160, Johnson City, TN 37614-7114 | |
(423) 439-4225 | |
(423) 439-4560 |
Full Name | Retha D Gentry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 365 Stout Drive, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760883680 | NPI | - | NPPES |
196085 | Other | TN | ST LICENSE |
19053 | Other | TN | ST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19053 (Tennessee) | Primary |
Entity Name | East Tennessee State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093990608 PECOS PAC ID: 2769394774 Enrollment ID: O20031212000403 |
Mailing Address | Practice Location Address |
---|---|
Retha D Gentry, DNP 365 Stout Drive Box 70403, Johnson City, TN 37614-1703 Ph: (423) 439-4515 | Retha D Gentry, DNP 365 Stout Drive, Nicks Hall Room 160, Johnson City, TN 37614-7114 Ph: (423) 439-4225 |
Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583 | |
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227 | |
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199 | |
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720 | |
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557 |