Stephanie Kim Dewitt, NP-C | |
620 Skyline Dr, Jackson, TN 38301-3923 | |
(731) 541-5000 | |
Not Available |
Full Name | Stephanie Kim Dewitt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 620 Skyline Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518337534 | NPI | - | NPPES |
0650197 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20407 (Tennessee) | Primary |
Entity Name | Emergency Medical Care Facilities Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Kim Dewitt, NP-C 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000 | Stephanie Kim Dewitt, NP-C 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000 |
Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 | |
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380 | |
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035 | |
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 | |
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310 | |
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233 | |
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483 |