Teresa Conerly, NPC | |
430 W Broad St, Monticello, MS 39654-7723 | |
(601) 825-7280 | |
(601) 825-8130 |
Full Name | Teresa Conerly |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 430 W Broad St, Monticello, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285065292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R855066 (Mississippi) | Primary |
Entity Name | Ms State Department Of Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
Entity Name | Family Health Care Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179 |
Mailing Address | Practice Location Address |
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Teresa Conerly, NPC 12 Mccray Rd, Jayess, MS 39641-8053 Ph: () - | Teresa Conerly, NPC 430 W Broad St, Monticello, MS 39654-7723 Ph: (601) 825-7280 |
Mrs. Rebecca Hussey Burris, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 F. E. Sellers Highway, Monticello, MS 39654 Phone: 601-587-4648 Fax: 601-587-0613 | |
Becky Jan Mercier, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256 | |
Molly Grubbs Mayhugh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 Main St Ste D, Monticello, MS 39654 Phone: 601-587-4304 Fax: 601-587-4515 | |
Genie B Vaughan, RN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256 | |
Rhonda Joyce Thomas, FNP-C, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 E Broad St, Monticello, MS 39654 Phone: 601-587-4051 Fax: 601-587-1256 | |
Tonjia S Lang, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4739 Highway 587, Monticello, MS 39654 Phone: 601-695-3745 |