| Advanced Family Healthcare | |
|
779 Highway 63 Ste 1 Cumberland Gap TN 37724-4104 | |
| (865) 256-8891 | |
| Not Available |
| Full Name | Advanced Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 779 Highway 63 Ste 1, Cumberland Gap, Tennessee |
| Authorized Official Name and Position | Jessica Warren (NURSE PRACTITIONER) |
| Authorized Official Contact | 8652568891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Healthcare 779 Highway 63 Ste 1 Cumberland Gap TN 37724-4104 Ph: (865) 256-8891 | Advanced Family Healthcare 779 Highway 63 Ste 1 Cumberland Gap TN 37724-4104 Ph: (865) 256-8891 |
| NPI Number | 1518551688 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/02/2021 |
| Medicare PECOS PAC ID | 9537575667 |
|---|---|
| Medicare Enrollment ID | O20210315001750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518551688 | NPI | - | NPPES |
| Q052575 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica R Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255985396 PECOS PAC ID: 8628307279 Enrollment ID: I20190909000761 |
| Provider Name | Alison Joy Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700591468 PECOS PAC ID: 2567827074 Enrollment ID: I20230504002119 |