Shannon D Fyffe, APRN | |
147 N Highland Ave, Prestonsburg, KY 41653-7748 | |
(502) 262-2882 | |
Not Available |
Full Name | Shannon D Fyffe |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 147 N Highland Ave, Prestonsburg, Kentucky |
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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1821704628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3018611 (Kentucky) | Primary |
Entity Name | Ppl Therapeutic Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104323252 PECOS PAC ID: 8527323989 Enrollment ID: O20180606000408 |
Mailing Address | Practice Location Address |
---|---|
Shannon D Fyffe, APRN 1241 Highway 469, Martha, KY 41159-9023 Ph: (606) 471-4342 | Shannon D Fyffe, APRN 147 N Highland Ave, Prestonsburg, KY 41653-7748 Ph: (502) 262-2882 |
Zelda Mcintosh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Diana Lynn Herald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Beverly Jane Daniel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5230-ky-321#8, Prestonsburg, KY 41653 Phone: 606-789-7587 | |
Leah Nicole May, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Lindsay Michelle Burroughs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Jayme Lynn Rice, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-8511 | |
Angela M Campbell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |