Shannon Sullivan-evans, FNP-BC | |
423 Medical Park Dr Ste 100, Lenoir City, TN 37772-5641 | |
(865) 271-6600 | |
(865) 374-2102 |
Full Name | Shannon Sullivan-evans |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 423 Medical Park Dr Ste 100, Lenoir 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 |
---|---|---|---|
1336596121 | NPI | - | NPPES |
Q022325 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN96411 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN21230 (Tennessee) | Primary |
Entity Name | Covenant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
Mailing Address | Practice Location Address |
---|---|
Shannon Sullivan-evans, FNP-BC 423 Medical Park Dr Ste 100, Lenoir City, TN 37772-5641 Ph: (865) 271-6600 | Shannon Sullivan-evans, FNP-BC 423 Medical Park Dr Ste 100, Lenoir City, TN 37772-5641 Ph: (865) 271-6600 |
Hannah Elizabeth Raines, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Adesa Blvd Ste A150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Sydney Upchurch, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5505 Creekwood Park Blvd, Lenoir City, TN 37772 Phone: 865-986-1400 Fax: 865-986-9400 | |
Patricia C Morton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5779 Creekwood Park Blvd Ste 110, Lenoir City, TN 37772 Phone: 865-635-2810 Fax: 865-635-2812 | |
Crystal G Moses, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Town Creek Rd E, Suite 2b, Lenoir City, TN 37772 Phone: 865-986-1400 Fax: 865-986-9400 | |
Amy Nicole Patterson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Kathryn Pierce, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Fort Loudoun Medical Center Dr, Suite 203, Lenoir City, TN 37772 Phone: 865-271-6095 Fax: 865-271-6096 | |
Meghan Elizabeth Mencer, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N A St, Lenoir City, TN 37771 Phone: 865-684-5688 |