Tazzie Harrison Mcleod, APRN, PMHNP-BC | |
7765 S County Road 231, Lake Butler, FL 32054-5721 | |
(352) 494-6692 | |
(352) 558-3422 |
Full Name | Tazzie Harrison Mcleod |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 7765 S County Road 231, Lake Butler, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235594862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN9383966 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11011283 (Florida) | Primary |
Entity Name | Keystone Psychiatry Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760166706 PECOS PAC ID: 2062869191 Enrollment ID: O20231113000226 |
Mailing Address | Practice Location Address |
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Tazzie Harrison Mcleod, APRN, PMHNP-BC 2380 Se 43rd St, Keystone Heights, FL 32656-5822 Ph: (352) 494-6692 | Tazzie Harrison Mcleod, APRN, PMHNP-BC 7765 S County Road 231, Lake Butler, FL 32054-5721 Ph: (352) 494-6692 |
Laura Caswell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 601-291-3146 | |
Ms. Andrea E Waterhouse, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 395 W Main St, Lake Butler, FL 32054 Phone: 386-496-3154 Fax: 386-496-1246 | |
Karl Hudson Dupont, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7765 S County Road 231, Lake Butler, FL 32054 Phone: 386-496-6000 | |
Cheryl Anderson Caska, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 East Main Street, Lake Butler, FL 32054 Phone: 386-496-2323 | |
Gloria Lynn Niquette, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Se 6th Pl, Lake Butler, FL 32054 Phone: 386-496-1236 | |
Mrs. Jamie Lynn Parrish, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15995 W State Road 238, Lake Butler, FL 32054 Phone: 386-496-9006 Fax: 844-276-8610 | |
Mr. Jon David Johnson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 E Main St, Lake Butler, FL 32054 Phone: 386-496-3211 Fax: 386-496-1599 |