Serena Proudfoot, FNP-C | |
26150 Main St, Ardmore, TN 38449-3158 | |
(931) 207-9297 | |
(931) 209-9298 |
Full Name | Serena Proudfoot |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 26150 Main St, Ardmore, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497417232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 31302 (Tennessee) | Primary |
363LF0000X | Nurse Practitioner - Family | F09211477 (Alabama) | Secondary |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Celebration Family Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891053823 PECOS PAC ID: 4385883172 Enrollment ID: O20130627000429 |
Mailing Address | Practice Location Address |
---|---|
Serena Proudfoot, FNP-C 26150 Main St, Ardmore, TN 38449-3158 Ph: (931) 207-9297 | Serena Proudfoot, FNP-C 26150 Main St, Ardmore, TN 38449-3158 Ph: (931) 207-9297 |
Deborah Ruth Verbeek, CFNP, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25495 Main St, Ardmore, TN 38449 Phone: 931-427-6969 Fax: 931-427-6967 | |
Nicholas Christofidis, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25495 Main St, Ardmore, TN 38449 Phone: 931-427-6969 Fax: 931-427-6967 | |
Diego Alejandro Cacho-tovar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26150 Main St, Ardmore, TN 38449 Phone: 931-207-9297 Fax: 931-209-9298 |