| Fast Pace Medical Clinic Pllc | |
|
100 E Tennessee St Collinwood TN 38450 | |
| (931) 724-9000 | |
| (731) 724-5577 |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 E Tennessee St, Collinwood, Tennessee |
| Authorized Official Name and Position | Stanley M Bevis (OWNER) |
| Authorized Official Contact | 9312531110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Medical Clinic Pllc Po Box 1258 Waynesboro TN 38485-1258 Ph: (931) 722-9099 | Fast Pace Medical Clinic Pllc 100 E Tennessee St Collinwood TN 38450 Ph: (931) 724-9000 |
| NPI Number | 1134452865 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 5395881841 |
|---|---|
| Medicare Enrollment ID | O20091014000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134452865 | NPI | - | NPPES |
| 1515574 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (Tennessee) | Secondary |
| Provider Name | Chester Earl Rall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356400287 PECOS PAC ID: 7911811906 Enrollment ID: I20031114000023 |
| Provider Name | Margaret Y Disheroon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326028952 PECOS PAC ID: 6709788128 Enrollment ID: I20040124000265 |
| Provider Name | Emily W Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376512491 PECOS PAC ID: 3476455601 Enrollment ID: I20040127000156 |
| Provider Name | Belinda K Bart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962515023 PECOS PAC ID: 3375431588 Enrollment ID: I20040309000835 |
| Provider Name | Anna A Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568654259 PECOS PAC ID: 8628960630 Enrollment ID: I20040325001223 |
| Provider Name | Jane Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538125711 PECOS PAC ID: 5597749366 Enrollment ID: I20040617001038 |
| Provider Name | Linda S Gourley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508860917 PECOS PAC ID: 0244131860 Enrollment ID: I20040709000468 |
| Provider Name | Neil W Worf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003880634 PECOS PAC ID: 5092789065 Enrollment ID: I20040825000062 |
| Provider Name | Phyllis A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003800616 PECOS PAC ID: 8123094828 Enrollment ID: I20040903000497 |
| Provider Name | Richard Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428680 PECOS PAC ID: 5294799870 Enrollment ID: I20041113000181 |
| Provider Name | Gwendolyn T Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275548851 PECOS PAC ID: 6103881412 Enrollment ID: I20041129000705 |
| Provider Name | Mary B Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841392974 PECOS PAC ID: 3779540323 Enrollment ID: I20041215000202 |
| Provider Name | Steven N Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942373717 PECOS PAC ID: 7719945732 Enrollment ID: I20041222000352 |
| Provider Name | Mary K Volner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245232263 PECOS PAC ID: 4082664560 Enrollment ID: I20050124000642 |
| Provider Name | Christine F Byrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104856384 PECOS PAC ID: 5799722658 Enrollment ID: I20050412000839 |
| Provider Name | Kevin B Collen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235153446 PECOS PAC ID: 3375586688 Enrollment ID: I20050608000082 |
| Provider Name | Joseph D Damewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346286218 PECOS PAC ID: 1850321613 Enrollment ID: I20050822000364 |
| Provider Name | Judith M Bolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831177898 PECOS PAC ID: 9830116276 Enrollment ID: I20051025001112 |
| Provider Name | Alvinia C Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376512889 PECOS PAC ID: 6800810565 Enrollment ID: I20060120000283 |
| Provider Name | Patricia A Stotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174620090 PECOS PAC ID: 6800804725 Enrollment ID: I20060403000744 |
| Provider Name | Stanley Bevis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962455451 PECOS PAC ID: 0143230003 Enrollment ID: I20060424000072 |
| Provider Name | Susan Dauwalder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366409179 PECOS PAC ID: 4587674908 Enrollment ID: I20060501000281 |
| Provider Name | Darik S Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629011358 PECOS PAC ID: 2961401716 Enrollment ID: I20061205000655 |
| Provider Name | Jessica H Sholtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760587786 PECOS PAC ID: 5496757783 Enrollment ID: I20070215000753 |
| Provider Name | David M Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932188554 PECOS PAC ID: 7113021361 Enrollment ID: I20070414000120 |
| Provider Name | Dalan B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225191653 PECOS PAC ID: 3971608282 Enrollment ID: I20070416000318 |
| Provider Name | Kimberly A Goodemote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902919293 PECOS PAC ID: 7618068610 Enrollment ID: I20070806000436 |
| Provider Name | Stefanie L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891908117 PECOS PAC ID: 9830280791 Enrollment ID: I20070807000214 |
| Provider Name | Melinda L Phillips-freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538296496 PECOS PAC ID: 7517059744 Enrollment ID: I20070817000420 |
| Provider Name | Cathy Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417913674 PECOS PAC ID: 3476645532 Enrollment ID: I20070821000027 |
| Provider Name | Terrie B Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502009 PECOS PAC ID: 0840388252 Enrollment ID: I20071119000572 |
| Provider Name | Leslie Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851591317 PECOS PAC ID: 2860582459 Enrollment ID: I20071219000702 |
| Provider Name | Sheila Yokley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558540666 PECOS PAC ID: 8628168036 Enrollment ID: I20071220000709 |
| Provider Name | Jennifer L Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982605382 PECOS PAC ID: 7315037645 Enrollment ID: I20071226000246 |
| Provider Name | Jeremy Brian Seaborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487844858 PECOS PAC ID: 2264515709 Enrollment ID: I20080207000246 |
| Provider Name | Susan R Curde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134305121 PECOS PAC ID: 0042393423 Enrollment ID: I20080207000575 |
| Provider Name | Kate E Estella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639347180 PECOS PAC ID: 0749367522 Enrollment ID: I20080403000100 |
| Provider Name | Angela C Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770753642 PECOS PAC ID: 3779660261 Enrollment ID: I20080408000700 |
| Provider Name | Gianna L Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891868105 PECOS PAC ID: 6002989647 Enrollment ID: I20080715000897 |
| Provider Name | Sharon J Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760605786 PECOS PAC ID: 4082781026 Enrollment ID: I20080917000535 |
| Provider Name | Melissa Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770753402 PECOS PAC ID: 1355418229 Enrollment ID: I20080917000836 |
| Provider Name | Debra S Nash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780789289 PECOS PAC ID: 2062589583 Enrollment ID: I20080925000510 |
| Provider Name | Marcy Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326203886 PECOS PAC ID: 5890854962 Enrollment ID: I20081104000326 |
| Provider Name | Carolyn Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255516969 PECOS PAC ID: 8426131533 Enrollment ID: I20081122000163 |
| Provider Name | David Stephen Cofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831354455 PECOS PAC ID: 0244391472 Enrollment ID: I20081206000072 |
| Provider Name | Rosemary P Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407026446 PECOS PAC ID: 4284796863 Enrollment ID: I20081216000063 |
| Provider Name | Marcus D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952306359 PECOS PAC ID: 5395807440 Enrollment ID: I20081224000027 |
| Provider Name | Ashley Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255581799 PECOS PAC ID: 9931261088 Enrollment ID: I20081224000030 |
| Provider Name | Andrea Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801046586 PECOS PAC ID: 3870656648 Enrollment ID: I20090106000482 |
| Provider Name | Melanie Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073771044 PECOS PAC ID: 5092878447 Enrollment ID: I20090110000182 |
| Provider Name | Sandra C Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003072273 PECOS PAC ID: 6406910249 Enrollment ID: I20090122000775 |
| Provider Name | Michele L Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881845857 PECOS PAC ID: 7719046937 Enrollment ID: I20090203000757 |
| Provider Name | Angelia Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083799837 PECOS PAC ID: 6305993437 Enrollment ID: I20090407000442 |
| Provider Name | Melanie P Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770723603 PECOS PAC ID: 5294882098 Enrollment ID: I20090414000408 |
| Provider Name | Connie L Bristol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437301496 PECOS PAC ID: 2860549524 Enrollment ID: I20090415000299 |
| Provider Name | Robert C Jamieson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184602757 PECOS PAC ID: 4880741008 Enrollment ID: I20090416000411 |
| Provider Name | Janet P Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285872580 PECOS PAC ID: 7416004999 Enrollment ID: I20090421000203 |
| Provider Name | Stacie K Grantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215175278 PECOS PAC ID: 2567510423 Enrollment ID: I20090501000505 |
| Provider Name | Janet Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861635799 PECOS PAC ID: 1759439466 Enrollment ID: I20090507000495 |
| Provider Name | Michelle Desha Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871733725 PECOS PAC ID: 5698824860 Enrollment ID: I20090518000393 |
| Provider Name | Matthew A Brayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700010816 PECOS PAC ID: 6305997958 Enrollment ID: I20090622000701 |
| Provider Name | Ashley Scott Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417086547 PECOS PAC ID: 0143373522 Enrollment ID: I20090803000268 |
| Provider Name | Deanna B Womble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720211469 PECOS PAC ID: 1658418108 Enrollment ID: I20091102000433 |
| Provider Name | Thomas I Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225365406 PECOS PAC ID: 5193866572 Enrollment ID: I20100107000218 |
| Provider Name | Lindsey A St Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497084032 PECOS PAC ID: 6305988569 Enrollment ID: I20100126000721 |
| Provider Name | Tanya R Bartholomew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073841235 PECOS PAC ID: 9436291408 Enrollment ID: I20100129000034 |
| Provider Name | Tiffany S Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528207917 PECOS PAC ID: 4284782327 Enrollment ID: I20100210000285 |
| Provider Name | Rebecca Ann Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730418385 PECOS PAC ID: 7517009509 Enrollment ID: I20100322000385 |
| Provider Name | Elesa A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821328121 PECOS PAC ID: 2567591050 Enrollment ID: I20100521000005 |
| Provider Name | Kelly L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689998403 PECOS PAC ID: 8628108602 Enrollment ID: I20100618000071 |
| Provider Name | Tracy L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639493380 PECOS PAC ID: 6305979808 Enrollment ID: I20100804000890 |
| Provider Name | Patricia A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518297589 PECOS PAC ID: 7315070703 Enrollment ID: I20100805000641 |
| Provider Name | Rita C Koon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649500083 PECOS PAC ID: 1658496310 Enrollment ID: I20100917000675 |
| Provider Name | Penny Gateley Creekmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730419425 PECOS PAC ID: 8022134501 Enrollment ID: I20100922000757 |
| Provider Name | Karen L Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649593112 PECOS PAC ID: 4385760149 Enrollment ID: I20100929000819 |
| Provider Name | Robert W Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831345776 PECOS PAC ID: 7012079254 Enrollment ID: I20101014000830 |
| Provider Name | Frances E Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861456428 PECOS PAC ID: 9133313802 Enrollment ID: I20101027000745 |
| Provider Name | Dana Kay Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497781454 PECOS PAC ID: 9931393329 Enrollment ID: I20101029000766 |
| Provider Name | Keith Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790959013 PECOS PAC ID: 2062606395 Enrollment ID: I20101101000837 |
| Provider Name | Jannyse L Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184954471 PECOS PAC ID: 5193910800 Enrollment ID: I20101108000915 |
| Provider Name | Scott Richard Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638007 PECOS PAC ID: 8921296559 Enrollment ID: I20101227000635 |
| Provider Name | Kristine L Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336459601 PECOS PAC ID: 0749460699 Enrollment ID: I20110209000605 |
| Provider Name | Lea J Pallas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639486251 PECOS PAC ID: 8426230012 Enrollment ID: I20110302000823 |
| Provider Name | Virginia L Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124320916 PECOS PAC ID: 8123200581 Enrollment ID: I20110308000030 |
| Provider Name | Melinda L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497801559 PECOS PAC ID: 0345422622 Enrollment ID: I20110308000376 |
| Provider Name | Javina Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295043693 PECOS PAC ID: 0941483929 Enrollment ID: I20110329000577 |
| Provider Name | Charlynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477870350 PECOS PAC ID: 1052595758 Enrollment ID: I20110404000841 |
| Provider Name | Jamie M Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033427695 PECOS PAC ID: 9537344791 Enrollment ID: I20110503000572 |
| Provider Name | Angela D Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386942134 PECOS PAC ID: 6901082940 Enrollment ID: I20110509000796 |
| Provider Name | Yali Hao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407166960 PECOS PAC ID: 6103003736 Enrollment ID: I20110608000710 |
| Provider Name | Linda Hall Rothery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104813195 PECOS PAC ID: 8729986468 Enrollment ID: I20110630000371 |
| Provider Name | Mark A Tankersley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265720726 PECOS PAC ID: 5698944106 Enrollment ID: I20110817000494 |
| Provider Name | Samantha Whitwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073805529 PECOS PAC ID: 5193995280 Enrollment ID: I20110829000172 |
| Provider Name | James Wesley Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285931758 PECOS PAC ID: 4183807191 Enrollment ID: I20110831000094 |
| Provider Name | Sandra Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134408461 PECOS PAC ID: 6608047386 Enrollment ID: I20110929000493 |
| Provider Name | Randall B Bible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215210943 PECOS PAC ID: 2264605591 Enrollment ID: I20111102000723 |
| Provider Name | Tasma Graham Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003194044 PECOS PAC ID: 3072787886 Enrollment ID: I20111114000063 |
| Provider Name | Tyroma D Rigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174567085 PECOS PAC ID: 3779480686 Enrollment ID: I20111123000683 |
| Provider Name | Deadra R Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174828180 PECOS PAC ID: 5597930420 Enrollment ID: I20111205000696 |
| Provider Name | Scott B Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205155165 PECOS PAC ID: 9032384193 Enrollment ID: I20111219000750 |
| Provider Name | Lindsey Shay Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346517927 PECOS PAC ID: 3870760036 Enrollment ID: I20120111000849 |
| Provider Name | Kristen Nickole Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639487556 PECOS PAC ID: 9032376645 Enrollment ID: I20120209000727 |
| Provider Name | Morgan C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801191622 PECOS PAC ID: 6103001557 Enrollment ID: I20120221000822 |
| Provider Name | Kylie Brown Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124342605 PECOS PAC ID: 9335307149 Enrollment ID: I20120224000717 |
| Provider Name | Crystal G Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376815415 PECOS PAC ID: 8628237492 Enrollment ID: I20120314000411 |
| Provider Name | Phyllis Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023374279 PECOS PAC ID: 2264694165 Enrollment ID: I20120509000473 |
| Provider Name | Kathryn L Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528333580 PECOS PAC ID: 0547423089 Enrollment ID: I20120522000728 |
| Provider Name | Valerie Lauren White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619254323 PECOS PAC ID: 4183889736 Enrollment ID: I20120703000604 |
| Provider Name | Laura B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750657839 PECOS PAC ID: 2163688474 Enrollment ID: I20120731000389 |
| Provider Name | Selena Michelle Gurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215214432 PECOS PAC ID: 1052577368 Enrollment ID: I20120731000409 |
| Provider Name | Lori Eve Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912270265 PECOS PAC ID: 2860658176 Enrollment ID: I20120731000421 |
| Provider Name | Betty A Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689931263 PECOS PAC ID: 6103082417 Enrollment ID: I20120731000454 |
| Provider Name | Jessica Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659645646 PECOS PAC ID: 7911153051 Enrollment ID: I20120806000796 |
| Provider Name | Kathy M O'connor-wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528241999 PECOS PAC ID: 5193971174 Enrollment ID: I20120807000349 |
| Provider Name | Deanna L Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911943 PECOS PAC ID: 8820268543 Enrollment ID: I20121016000383 |
| Provider Name | Cindy A Geick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508902511 PECOS PAC ID: 2264682681 Enrollment ID: I20121022000076 |
| Provider Name | Dawn M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184947038 PECOS PAC ID: 4981854338 Enrollment ID: I20121022000331 |
| Provider Name | Mary B Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972855724 PECOS PAC ID: 3375794126 Enrollment ID: I20121105000118 |
| Provider Name | Donna Kaye Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245589514 PECOS PAC ID: 7214188861 Enrollment ID: I20121108000351 |
| Provider Name | Elizabeth J Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144575374 PECOS PAC ID: 6406008929 Enrollment ID: I20121210000068 |
| Provider Name | Deborah Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447502158 PECOS PAC ID: 5496907917 Enrollment ID: I20121210000078 |
| Provider Name | Tanya Jarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154667053 PECOS PAC ID: 3476706581 Enrollment ID: I20130123000157 |
| Provider Name | Jacinta Y Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578813226 PECOS PAC ID: 6507010311 Enrollment ID: I20130202000020 |
| Provider Name | Kenzie R Lovingood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790016715 PECOS PAC ID: 4385898873 Enrollment ID: I20130211000073 |
| Provider Name | Tammy B Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407104946 PECOS PAC ID: 8325292576 Enrollment ID: I20130218000050 |
| Provider Name | David B Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659619161 PECOS PAC ID: 2264677277 Enrollment ID: I20130322000154 |
| Provider Name | Sheana Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164787750 PECOS PAC ID: 4486899424 Enrollment ID: I20130322000434 |
| Provider Name | Bobby Jean Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861734972 PECOS PAC ID: 2466698253 Enrollment ID: I20130424000277 |
| Provider Name | Brittany Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689915142 PECOS PAC ID: 1153568530 Enrollment ID: I20130501000488 |
| Provider Name | Wendy Ann Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104168913 PECOS PAC ID: 7618114059 Enrollment ID: I20130502000460 |
| Provider Name | Randall B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104179985 PECOS PAC ID: 9234376419 Enrollment ID: I20130507000333 |
| Provider Name | Joni Seagrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053652339 PECOS PAC ID: 6406093244 Enrollment ID: I20130514000734 |
| Provider Name | William B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831431568 PECOS PAC ID: 3274772678 Enrollment ID: I20130614000591 |
| Provider Name | Shavonne Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720326200 PECOS PAC ID: 5294974564 Enrollment ID: I20130617000709 |
| Provider Name | Christine Corpuz Kowal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417296807 PECOS PAC ID: 4486893724 Enrollment ID: I20130618000700 |
| Provider Name | Tally S Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669817458 PECOS PAC ID: 4688813736 Enrollment ID: I20130620000483 |
| Provider Name | Jena Burlison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851634166 PECOS PAC ID: 4688813645 Enrollment ID: I20130624000311 |
| Provider Name | Paula Havelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376814095 PECOS PAC ID: 1456590439 Enrollment ID: I20130624000491 |
| Provider Name | Amy M Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548606338 PECOS PAC ID: 4688814163 Enrollment ID: I20130703000602 |
| Provider Name | Jamie M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447593041 PECOS PAC ID: 9638319031 Enrollment ID: I20130708000749 |
| Provider Name | Shandy Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932546124 PECOS PAC ID: 7517107816 Enrollment ID: I20130710000449 |
| Provider Name | Jamie L Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558603407 PECOS PAC ID: 9830339084 Enrollment ID: I20130711000215 |
| Provider Name | Kirstie L Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790022333 PECOS PAC ID: 1759522477 Enrollment ID: I20130723000526 |
| Provider Name | Wanda F Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871930214 PECOS PAC ID: 5799926440 Enrollment ID: I20130723000899 |
| Provider Name | Christy S Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740531938 PECOS PAC ID: 9537301973 Enrollment ID: I20130814000135 |
| Provider Name | Morgan R Wages |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831465582 PECOS PAC ID: 7214179365 Enrollment ID: I20130820000401 |
| Provider Name | Christine M Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790865624 PECOS PAC ID: 6305921255 Enrollment ID: I20130828000020 |
| Provider Name | Tiffany L Sliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679816615 PECOS PAC ID: 4880838069 Enrollment ID: I20130910000858 |
| Provider Name | Haley M Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033452495 PECOS PAC ID: 6507000882 Enrollment ID: I20130926000808 |
| Provider Name | Melinda Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699012914 PECOS PAC ID: 1052546181 Enrollment ID: I20131028000415 |
| Provider Name | Heather Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669807830 PECOS PAC ID: 8123253002 Enrollment ID: I20131031000106 |
| Provider Name | Karen Denise Daingerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538594494 PECOS PAC ID: 9133354772 Enrollment ID: I20131106001609 |
| Provider Name | Shawn Michael Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861830200 PECOS PAC ID: 9830325315 Enrollment ID: I20131112001725 |
| Provider Name | Gregory S. Wamack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053741876 PECOS PAC ID: 9234367434 Enrollment ID: I20140115001434 |
| Provider Name | Chasity H. Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518398825 PECOS PAC ID: 2062641459 Enrollment ID: I20140205001094 |
| Provider Name | Cynthia Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336363613 PECOS PAC ID: 3375637853 Enrollment ID: I20140211001564 |
| Provider Name | Cameron Hofstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629402482 PECOS PAC ID: 8123258969 Enrollment ID: I20140224000566 |
| Provider Name | Joshua Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669893566 PECOS PAC ID: 5698905099 Enrollment ID: I20140305000096 |
| Provider Name | Sheldon Dreaddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650367 PECOS PAC ID: 4688805344 Enrollment ID: I20140320002343 |
| Provider Name | Denise R Mccluskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073778007 PECOS PAC ID: 8022249713 Enrollment ID: I20140321001176 |
| Provider Name | Cara Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235560533 PECOS PAC ID: 7719118348 Enrollment ID: I20140325001591 |
| Provider Name | Kristin Kight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922321421 PECOS PAC ID: 1254562895 Enrollment ID: I20140325001692 |
| Provider Name | Darlene Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205862521 PECOS PAC ID: 9436049400 Enrollment ID: I20140326000142 |
| Provider Name | Kelly B Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699018291 PECOS PAC ID: 4587895735 Enrollment ID: I20140401001314 |
| Provider Name | Tony Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164852521 PECOS PAC ID: 2567695190 Enrollment ID: I20140505002239 |
| Provider Name | Amber M Tayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700200771 PECOS PAC ID: 3375766520 Enrollment ID: I20140516000176 |
| Provider Name | Lefonda Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285059733 PECOS PAC ID: 5395968101 Enrollment ID: I20140523001667 |
| Provider Name | Lindsey N Winton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619393311 PECOS PAC ID: 9638393044 Enrollment ID: I20140604001852 |
| Provider Name | Terry Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821379322 PECOS PAC ID: 2365666211 Enrollment ID: I20140616000135 |
| Provider Name | Lisa Carol Schweich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053739193 PECOS PAC ID: 2365667797 Enrollment ID: I20140627000521 |
| Provider Name | Janelle Scullark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356764088 PECOS PAC ID: 8820213127 Enrollment ID: I20140630000715 |
| Provider Name | Katie Nicole Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922424761 PECOS PAC ID: 5092930214 Enrollment ID: I20140702000786 |
| Provider Name | Misty M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346650132 PECOS PAC ID: 0840415683 Enrollment ID: I20140710001455 |
| Provider Name | Edna Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477991669 PECOS PAC ID: 8921224098 Enrollment ID: I20140725000575 |
| Provider Name | Trever Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164832416 PECOS PAC ID: 1850517830 Enrollment ID: I20140728002227 |
| Provider Name | Maria Pauline Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124447651 PECOS PAC ID: 0941426845 Enrollment ID: I20140730001053 |
| Provider Name | Tonya Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851714240 PECOS PAC ID: 9335366012 Enrollment ID: I20140805000607 |
| Provider Name | Brandi Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831430560 PECOS PAC ID: 3274750039 Enrollment ID: I20140819001084 |
| Provider Name | April A. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790109502 PECOS PAC ID: 0547488918 Enrollment ID: I20140826002304 |
| Provider Name | Kendra D Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871900852 PECOS PAC ID: 3476771536 Enrollment ID: I20140902002005 |
| Provider Name | Diane Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326284217 PECOS PAC ID: 5799904348 Enrollment ID: I20140915001279 |
| Provider Name | Wanda Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477686087 PECOS PAC ID: 0840419370 Enrollment ID: I20140916001792 |
| Provider Name | Barbara Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658663 PECOS PAC ID: 7113146655 Enrollment ID: I20140916002147 |
| Provider Name | Jana Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594888 PECOS PAC ID: 8022237569 Enrollment ID: I20140916002150 |
| Provider Name | Kristian Hill Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679992085 PECOS PAC ID: 7416176847 Enrollment ID: I20140917002679 |
| Provider Name | Stacy Wason-fawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194143347 PECOS PAC ID: 2466672142 Enrollment ID: I20140930002729 |
| Provider Name | Nicole Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841609633 PECOS PAC ID: 0345460432 Enrollment ID: I20141014000395 |
| Provider Name | Tia R Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944462 PECOS PAC ID: 1557582590 Enrollment ID: I20141016001414 |
| Provider Name | Tamisha Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235546888 PECOS PAC ID: 8628299377 Enrollment ID: I20141021001857 |
| Provider Name | Amanda L Wright-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982013751 PECOS PAC ID: 8921229584 Enrollment ID: I20141023001146 |
| Provider Name | Amy L.ynn Schoenthaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972917011 PECOS PAC ID: 2466673652 Enrollment ID: I20141103000943 |
| Provider Name | Maureen J Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649670639 PECOS PAC ID: 0840412045 Enrollment ID: I20141103001733 |
| Provider Name | Amanda L Womac-boiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538572631 PECOS PAC ID: 2365664570 Enrollment ID: I20141103001871 |
| Provider Name | Simon Spilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578728002 PECOS PAC ID: 6305017062 Enrollment ID: I20141104002798 |
| Provider Name | Kyong A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245649110 PECOS PAC ID: 8729200761 Enrollment ID: I20141107000151 |
| Provider Name | Dana L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285066480 PECOS PAC ID: 9638391485 Enrollment ID: I20141111000262 |
| Provider Name | Charlene Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621756 PECOS PAC ID: 8123240926 Enrollment ID: I20141111001752 |
| Provider Name | Hunter Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801068861 PECOS PAC ID: 8820268659 Enrollment ID: I20141112002175 |
| Provider Name | Folarin Olatunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942603170 PECOS PAC ID: 6901128982 Enrollment ID: I20141202000591 |
| Provider Name | Felicia A Thompson Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760804355 PECOS PAC ID: 5092938043 Enrollment ID: I20141202001291 |
| Provider Name | Tammy M Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407251267 PECOS PAC ID: 8820310824 Enrollment ID: I20141202001405 |
| Provider Name | Kevin Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114328655 PECOS PAC ID: 6406178193 Enrollment ID: I20141208002289 |
| Provider Name | Pamela S Earles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487061313 PECOS PAC ID: 4587986294 Enrollment ID: I20141209000737 |
| Provider Name | Kendra Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780002972 PECOS PAC ID: 5991028904 Enrollment ID: I20141224000992 |
| Provider Name | Belinda Romer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467640714 PECOS PAC ID: 9739402397 Enrollment ID: I20150106002599 |
| Provider Name | Matthew King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104228527 PECOS PAC ID: 6103140413 Enrollment ID: I20150114002490 |
| Provider Name | Diana Dillehay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841618030 PECOS PAC ID: 8628392784 Enrollment ID: I20150120000663 |
| Provider Name | Jill N Pressnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564893 PECOS PAC ID: 9931423019 Enrollment ID: I20150120001865 |
| Provider Name | Wanda E Aristorenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477955078 PECOS PAC ID: 5294059820 Enrollment ID: I20150130000365 |
| Provider Name | Elizabeth Card |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073933024 PECOS PAC ID: 9032434204 Enrollment ID: I20150210001326 |
| Provider Name | Chelsie Worrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104165752 PECOS PAC ID: 2961727961 Enrollment ID: I20150216000893 |
| Provider Name | Lori E Gream |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568897338 PECOS PAC ID: 0446575302 Enrollment ID: I20150217001584 |
| Provider Name | Angela Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831592161 PECOS PAC ID: 9739405234 Enrollment ID: I20150227000575 |
| Provider Name | Joni Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154726834 PECOS PAC ID: 3274859509 Enrollment ID: I20150304002328 |
| Provider Name | Ashley B Hoadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821357682 PECOS PAC ID: 3870810641 Enrollment ID: I20150317000421 |
| Provider Name | Jason L Kile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699178574 PECOS PAC ID: 8628395373 Enrollment ID: I20150318000990 |
| Provider Name | Lori L Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225436942 PECOS PAC ID: 4880911031 Enrollment ID: I20150326001783 |
| Provider Name | Megan Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932598646 PECOS PAC ID: 7113244328 Enrollment ID: I20150327001562 |
| Provider Name | Carla Trail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184014524 PECOS PAC ID: 9032436258 Enrollment ID: I20150327001916 |
| Provider Name | Milicent Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487044244 PECOS PAC ID: 8426375544 Enrollment ID: I20150327002239 |
| Provider Name | Samantha J Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821486556 PECOS PAC ID: 5698093417 Enrollment ID: I20150407001963 |
| Provider Name | Deanie E Wade-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316356454 PECOS PAC ID: 9032437199 Enrollment ID: I20150421002175 |
| Provider Name | Jaclyn A Bane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871983452 PECOS PAC ID: 7810216777 Enrollment ID: I20150428001186 |
| Provider Name | Brandi Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437540200 PECOS PAC ID: 0840519443 Enrollment ID: I20150504000598 |
| Provider Name | Laura L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164814158 PECOS PAC ID: 4789658170 Enrollment ID: I20150505001640 |
| Provider Name | Lisa Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306248182 PECOS PAC ID: 6901125244 Enrollment ID: I20150507001396 |
| Provider Name | Barry Michael Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225420490 PECOS PAC ID: 7012237654 Enrollment ID: I20150521000720 |
| Provider Name | Mary Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952796575 PECOS PAC ID: 6507186921 Enrollment ID: I20150526001119 |
| Provider Name | Christina Ragasa Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356730477 PECOS PAC ID: 1254651649 Enrollment ID: I20150527000867 |
| Provider Name | Cristy Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639562937 PECOS PAC ID: 3678894805 Enrollment ID: I20150601000216 |
| Provider Name | Katie Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639565039 PECOS PAC ID: 1557682739 Enrollment ID: I20150601001658 |
| Provider Name | Jennifer Kilby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902291040 PECOS PAC ID: 0648591719 Enrollment ID: I20150602001767 |
| Provider Name | Samiya Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174910921 PECOS PAC ID: 1355662313 Enrollment ID: I20150603001666 |
| Provider Name | Diane Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205222676 PECOS PAC ID: 1850612599 Enrollment ID: I20150605001131 |
| Provider Name | Brianna Nicole Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740610351 PECOS PAC ID: 2860713559 Enrollment ID: I20150605002778 |
| Provider Name | Tyler England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982090585 PECOS PAC ID: 3779804372 Enrollment ID: I20150608002653 |
| Provider Name | Hailey R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417341421 PECOS PAC ID: 5698086957 Enrollment ID: I20150612002106 |
| Provider Name | Anna L Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194118588 PECOS PAC ID: 5698086825 Enrollment ID: I20150615002141 |
| Provider Name | Mary B Mungle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711638 PECOS PAC ID: 3375854375 Enrollment ID: I20150617001723 |
| Provider Name | Latasha Y Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376213 PECOS PAC ID: 9537470901 Enrollment ID: I20150625002647 |
| Provider Name | Amy Lynn Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205221884 PECOS PAC ID: 3779895834 Enrollment ID: I20150701001832 |
| Provider Name | Melissa Geist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093719452 PECOS PAC ID: 7416261128 Enrollment ID: I20150807014335 |
| Provider Name | Theresia Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851789598 PECOS PAC ID: 4284942152 Enrollment ID: I20150928000903 |
| Provider Name | Tinera Dawn Hutchins-conry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982089157 PECOS PAC ID: 9830407394 Enrollment ID: I20151001003118 |
| Provider Name | Samantha H Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013314384 PECOS PAC ID: 6507180148 Enrollment ID: I20151013002276 |
| Provider Name | Desiree Mae Raynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346624095 PECOS PAC ID: 4981913845 Enrollment ID: I20151016000789 |
| Provider Name | Stacy R Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720463425 PECOS PAC ID: 8628387263 Enrollment ID: I20151021000976 |
| Provider Name | Elisa Runions |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801262027 PECOS PAC ID: 6406866904 Enrollment ID: I20151023001179 |
| Provider Name | Virginia A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134543820 PECOS PAC ID: 5395977953 Enrollment ID: I20151023001619 |
| Provider Name | Jami Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083797211 PECOS PAC ID: 8325357650 Enrollment ID: I20151027001901 |
| Provider Name | Mary Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356573463 PECOS PAC ID: 3375853500 Enrollment ID: I20151030000612 |
| Provider Name | Brittany Baldy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770977472 PECOS PAC ID: 7315257581 Enrollment ID: I20151030002008 |
| Provider Name | Lauren Amber Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477948081 PECOS PAC ID: 4880904754 Enrollment ID: I20151104001976 |
| Provider Name | Preston Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972999597 PECOS PAC ID: 9739499682 Enrollment ID: I20151105002086 |
| Provider Name | William Blake Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629450614 PECOS PAC ID: 8628388261 Enrollment ID: I20151110002089 |
| Provider Name | Shelley Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760773055 PECOS PAC ID: 4789994385 Enrollment ID: I20151111001515 |
| Provider Name | Nakeisha Micheaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417292087 PECOS PAC ID: 6204146756 Enrollment ID: I20151112001813 |
| Provider Name | Kerrie H Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326431024 PECOS PAC ID: 2860702370 Enrollment ID: I20151113000498 |
| Provider Name | Amy K Kilbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902237050 PECOS PAC ID: 0042430977 Enrollment ID: I20151116001763 |
| Provider Name | Natalie Ann Frasier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255720421 PECOS PAC ID: 5193025419 Enrollment ID: I20151118001105 |
| Provider Name | Pamela Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807186 PECOS PAC ID: 9830499110 Enrollment ID: I20151119000244 |
| Provider Name | Judy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851394498 PECOS PAC ID: 1456312636 Enrollment ID: I20151119001040 |
| Provider Name | Jason L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004085 PECOS PAC ID: 1759681950 Enrollment ID: I20151119001372 |
| Provider Name | Chelsa Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942670641 PECOS PAC ID: 1951601814 Enrollment ID: I20151125000063 |
| Provider Name | Daniel M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902283930 PECOS PAC ID: 0547560351 Enrollment ID: I20151201001319 |
| Provider Name | Edo Udoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617573 PECOS PAC ID: 7810162948 Enrollment ID: I20151204000543 |
| Provider Name | Barbara Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598776700 PECOS PAC ID: 7214947845 Enrollment ID: I20151210000482 |
| Provider Name | Jennifer C Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184098147 PECOS PAC ID: 5395046429 Enrollment ID: I20151215001810 |
| Provider Name | Steffany Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720068265 PECOS PAC ID: 1850302514 Enrollment ID: I20160107001700 |
| Provider Name | Joshua F Mcwaters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720452360 PECOS PAC ID: 6204139512 Enrollment ID: I20160120001963 |
| Provider Name | Angie Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962745356 PECOS PAC ID: 0143523126 Enrollment ID: I20160126000493 |
| Provider Name | Katherine M Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142364 PECOS PAC ID: 5092018879 Enrollment ID: I20160128001661 |
| Provider Name | John Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568837144 PECOS PAC ID: 1052615564 Enrollment ID: I20160203001957 |
| Provider Name | Cassondra Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770847915 PECOS PAC ID: 5799089231 Enrollment ID: I20160203003027 |
| Provider Name | Lisa M Cejka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134531593 PECOS PAC ID: 5092019398 Enrollment ID: I20160208000257 |
| Provider Name | Mitzie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760722284 PECOS PAC ID: 5294959615 Enrollment ID: I20160225001559 |
| Provider Name | Ruth E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285092593 PECOS PAC ID: 9234434416 Enrollment ID: I20160225002020 |
| Provider Name | Heather Verduzco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062873 PECOS PAC ID: 9638474760 Enrollment ID: I20160226000782 |
| Provider Name | Johnna M Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194190306 PECOS PAC ID: 1759686819 Enrollment ID: I20160226001523 |
| Provider Name | Kimberly Dawn Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013373968 PECOS PAC ID: 1951607530 Enrollment ID: I20160308001127 |
| Provider Name | Misti Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649675281 PECOS PAC ID: 2769788256 Enrollment ID: I20160309001705 |
| Provider Name | Christa Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497138648 PECOS PAC ID: 4183920614 Enrollment ID: I20160309003023 |
| Provider Name | Kristina L Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591959 PECOS PAC ID: 2961701008 Enrollment ID: I20160425001383 |
| Provider Name | Courtney L Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609239425 PECOS PAC ID: 3274832324 Enrollment ID: I20160425001535 |
| Provider Name | Erica L Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700200490 PECOS PAC ID: 6608175591 Enrollment ID: I20160427001415 |
| Provider Name | Chessica L Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990105 PECOS PAC ID: 2466751367 Enrollment ID: I20160427001598 |
| Provider Name | Whitney Lachele Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205149705 PECOS PAC ID: 3274832860 Enrollment ID: I20160503002178 |
| Provider Name | Stacy Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386004240 PECOS PAC ID: 0941599211 Enrollment ID: I20160510002314 |
| Provider Name | Patton D Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992072524 PECOS PAC ID: 7810286994 Enrollment ID: I20160512000747 |
| Provider Name | Scarlett Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508299066 PECOS PAC ID: 0749579712 Enrollment ID: I20160513001325 |
| Provider Name | Xiaoli S Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942662812 PECOS PAC ID: 6901195890 Enrollment ID: I20160517000095 |
| Provider Name | April Caperton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568824647 PECOS PAC ID: 8022307883 Enrollment ID: I20160517002762 |
| Provider Name | Deborah Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629432844 PECOS PAC ID: 5890086383 Enrollment ID: I20160613001914 |
| Provider Name | Heather Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619324852 PECOS PAC ID: 1052603420 Enrollment ID: I20160705000783 |
| Provider Name | Yaima Alonso-jeckell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609141910 PECOS PAC ID: 4587967120 Enrollment ID: I20160706001108 |
| Provider Name | Lynn Nicole Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871942201 PECOS PAC ID: 2163714015 Enrollment ID: I20160713001111 |
| Provider Name | Ashley Victoria Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811348519 PECOS PAC ID: 2961795448 Enrollment ID: I20160720002501 |
| Provider Name | Christina Parker Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262898 PECOS PAC ID: 2668765835 Enrollment ID: I20160726001004 |
| Provider Name | Maggie Anna Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659751865 PECOS PAC ID: 3072807221 Enrollment ID: I20160810001669 |
| Provider Name | Molly Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285087437 PECOS PAC ID: 2466746359 Enrollment ID: I20160816002096 |
| Provider Name | Whitney W Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942652987 PECOS PAC ID: 8022303973 Enrollment ID: I20160817001215 |
| Provider Name | William Tyler Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962855445 PECOS PAC ID: 0749575603 Enrollment ID: I20160817001642 |
| Provider Name | Julie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639533912 PECOS PAC ID: 6103111760 Enrollment ID: I20160822000342 |
| Provider Name | Meghan Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235684184 PECOS PAC ID: 9739474925 Enrollment ID: I20160826001990 |
| Provider Name | Billy Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114375664 PECOS PAC ID: 3870888431 Enrollment ID: I20160831001932 |
| Provider Name | Autum M Salsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104279983 PECOS PAC ID: 4880980440 Enrollment ID: I20160907002170 |
| Provider Name | Rebecca A Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026981 PECOS PAC ID: 6406142066 Enrollment ID: I20160907002236 |
| Provider Name | Amy Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107874 PECOS PAC ID: 8628364809 Enrollment ID: I20160914002528 |
| Provider Name | Christy Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588111850 PECOS PAC ID: 0446546543 Enrollment ID: I20160915000246 |
| Provider Name | Patricia Mantooth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487101036 PECOS PAC ID: 6507152691 Enrollment ID: I20160916000563 |
| Provider Name | Karlee Stamey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164976593 PECOS PAC ID: 9335436435 Enrollment ID: I20160916001240 |
| Provider Name | Austin K Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415280 PECOS PAC ID: 4880981745 Enrollment ID: I20160921001699 |
| Provider Name | Rylee Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104372580 PECOS PAC ID: 4688961469 Enrollment ID: I20160921002729 |
| Provider Name | Kenisha Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154877421 PECOS PAC ID: 7517254121 Enrollment ID: I20160926002041 |
| Provider Name | Teresa Fulwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881143659 PECOS PAC ID: 3870880032 Enrollment ID: I20161003001422 |
| Provider Name | Jena Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689120644 PECOS PAC ID: 8628366655 Enrollment ID: I20161006002533 |
| Provider Name | Kelley Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730502733 PECOS PAC ID: 6709174584 Enrollment ID: I20161011001315 |
| Provider Name | Alexis Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588051726 PECOS PAC ID: 8628381431 Enrollment ID: I20161012000695 |
| Provider Name | Tracy Mcnair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619345113 PECOS PAC ID: 4981992542 Enrollment ID: I20161013002065 |
| Provider Name | Sherrie L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851740773 PECOS PAC ID: 8820376221 Enrollment ID: I20161104000837 |
| Provider Name | Angela A Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169274 PECOS PAC ID: 9335455930 Enrollment ID: I20161116001096 |
| Provider Name | Michelle Zerpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485362 PECOS PAC ID: 2365721800 Enrollment ID: I20161128000935 |
| Provider Name | Stephanie Fnpc Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932057 PECOS PAC ID: 0345520714 Enrollment ID: I20161201001478 |
| Provider Name | Josh L Vantrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053864819 PECOS PAC ID: 8426338518 Enrollment ID: I20161207000644 |
| Provider Name | Brad Allen Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689116097 PECOS PAC ID: 2466733050 Enrollment ID: I20161219001566 |
| Provider Name | Sonya Marie Lovingood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043612906 PECOS PAC ID: 6800119405 Enrollment ID: I20161221000351 |
| Provider Name | Tracey K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588118251 PECOS PAC ID: 0840571279 Enrollment ID: I20161227000338 |
| Provider Name | Erin Legens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326430620 PECOS PAC ID: 6507147857 Enrollment ID: I20161229000780 |
| Provider Name | Evangeleine Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216649 PECOS PAC ID: 4587952130 Enrollment ID: I20170103001764 |
| Provider Name | Kristen Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336510650 PECOS PAC ID: 8123301462 Enrollment ID: I20170210000449 |
| Provider Name | Ginger Dawn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063957843 PECOS PAC ID: 5395028393 Enrollment ID: I20170217001702 |
| Provider Name | Natalie Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801339296 PECOS PAC ID: 2567745490 Enrollment ID: I20170220000532 |
| Provider Name | Jonathan Manuel Rey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679745368 PECOS PAC ID: 1254529613 Enrollment ID: I20170220001411 |
| Provider Name | Molly Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508226481 PECOS PAC ID: 9830473081 Enrollment ID: I20170307001002 |
| Provider Name | Aspen A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619327772 PECOS PAC ID: 4880978048 Enrollment ID: I20170307001710 |
| Provider Name | Jessica Millraney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508309766 PECOS PAC ID: 3375827397 Enrollment ID: I20170310000722 |
| Provider Name | Kelly Ann West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992760 PECOS PAC ID: 0840574885 Enrollment ID: I20170310001610 |
| Provider Name | Sunny Q Thibodeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427329044 PECOS PAC ID: 1850543620 Enrollment ID: I20170327001795 |
| Provider Name | Kerry Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700815263 PECOS PAC ID: 5395761647 Enrollment ID: I20170405002330 |
| Provider Name | Nathan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104361906 PECOS PAC ID: 6406132422 Enrollment ID: I20170405002383 |
| Provider Name | Tracey Jolene Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568918878 PECOS PAC ID: 4587940952 Enrollment ID: I20170419001748 |
| Provider Name | Miaschia B Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245694835 PECOS PAC ID: 1456647163 Enrollment ID: I20170421001632 |
| Provider Name | Jennifer Wainright Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902347545 PECOS PAC ID: 3072899376 Enrollment ID: I20170421001846 |
| Provider Name | Amanda Genco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730628785 PECOS PAC ID: 4587941307 Enrollment ID: I20170504001137 |
| Provider Name | Ryan L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538992 PECOS PAC ID: 6709163348 Enrollment ID: I20170508001752 |
| Provider Name | Kacy M Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063950160 PECOS PAC ID: 5991082554 Enrollment ID: I20170508002725 |
| Provider Name | Jessica Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508391566 PECOS PAC ID: 7911274873 Enrollment ID: I20170524001224 |
| Provider Name | Gina Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154792463 PECOS PAC ID: 9133420540 Enrollment ID: I20170601000539 |
| Provider Name | Shaqualar M Gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700320660 PECOS PAC ID: 9133402282 Enrollment ID: I20170601001572 |
| Provider Name | Sherry Gallimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004529 PECOS PAC ID: 6507142692 Enrollment ID: I20170605001406 |
| Provider Name | Jennifer L Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851825616 PECOS PAC ID: 1456629377 Enrollment ID: I20170619001698 |
| Provider Name | Kwaghdoo Bossuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134366081 PECOS PAC ID: 9335204171 Enrollment ID: I20170619002636 |
| Provider Name | Madison Leigh Lamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648904 PECOS PAC ID: 2062780802 Enrollment ID: I20170619002853 |
| Provider Name | Bobbie Bode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811310915 PECOS PAC ID: 7012131824 Enrollment ID: I20170623001095 |
| Provider Name | Hannah E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811434608 PECOS PAC ID: 2264700715 Enrollment ID: I20170626000329 |
| Provider Name | Brittany Hill Slatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090682 PECOS PAC ID: 9638447113 Enrollment ID: I20170626001684 |
| Provider Name | Eddie D Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548701881 PECOS PAC ID: 6709155450 Enrollment ID: I20170712000589 |
| Provider Name | Elizabeth Illenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295263192 PECOS PAC ID: 8022387661 Enrollment ID: I20170712004157 |
| Provider Name | Lauren Easterwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922538651 PECOS PAC ID: 6305116336 Enrollment ID: I20170724002113 |
| Provider Name | Scott Moore Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821038159 PECOS PAC ID: 5799715413 Enrollment ID: I20170807001029 |
| Provider Name | Melani Sidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091122 PECOS PAC ID: 8426321332 Enrollment ID: I20170828004763 |
| Provider Name | Bryan Fnp Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255872875 PECOS PAC ID: 2466725387 Enrollment ID: I20170829000293 |
| Provider Name | Kristy M Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117521 PECOS PAC ID: 4385917574 Enrollment ID: I20170911001339 |
| Provider Name | Laura Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265957054 PECOS PAC ID: 2466726724 Enrollment ID: I20170925003666 |
| Provider Name | Teresa Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982122438 PECOS PAC ID: 8224303151 Enrollment ID: I20171003006421 |
| Provider Name | Sheri L Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902321359 PECOS PAC ID: 4981970845 Enrollment ID: I20171019002158 |
| Provider Name | Alexandria Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396254561 PECOS PAC ID: 0648546077 Enrollment ID: I20171030001481 |
| Provider Name | Ashley L Hardee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407387509 PECOS PAC ID: 8729344676 Enrollment ID: I20171108002543 |
| Provider Name | Janet Haymore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396141636 PECOS PAC ID: 6608169560 Enrollment ID: I20171121001296 |
| Provider Name | Ammie S Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386155059 PECOS PAC ID: 7214294271 Enrollment ID: I20171129000895 |
| Provider Name | Cindy Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275044877 PECOS PAC ID: 4486911492 Enrollment ID: I20171129002914 |
| Provider Name | Amanda Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376065623 PECOS PAC ID: 6608133418 Enrollment ID: I20171204002045 |
| Provider Name | Leslie B Sullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490307 PECOS PAC ID: 9032476841 Enrollment ID: I20171204002164 |
| Provider Name | Britany G Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558800334 PECOS PAC ID: 3577821081 Enrollment ID: I20171211000722 |
| Provider Name | Brynna Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811410954 PECOS PAC ID: 1456619733 Enrollment ID: I20171213003166 |
| Provider Name | Betsy Akin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720525991 PECOS PAC ID: 7810255064 Enrollment ID: I20171218002491 |
| Provider Name | Zilla F Henricksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578934790 PECOS PAC ID: 5496058802 Enrollment ID: I20171219002447 |
| Provider Name | Vicky Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548638356 PECOS PAC ID: 5193024362 Enrollment ID: I20180111002796 |
| Provider Name | Alison Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023522737 PECOS PAC ID: 4284993528 Enrollment ID: I20180112002649 |
| Provider Name | Courtney Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538604657 PECOS PAC ID: 8921381302 Enrollment ID: I20180123000359 |
| Provider Name | Raina K Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932627882 PECOS PAC ID: 1254690936 Enrollment ID: I20180126000554 |
| Provider Name | Mary Elisabeth Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629518626 PECOS PAC ID: 6800152026 Enrollment ID: I20180130001349 |
| Provider Name | Jacob S Orin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327832 PECOS PAC ID: 5294014171 Enrollment ID: I20180215000828 |
| Provider Name | Jessica Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427565076 PECOS PAC ID: 3072875400 Enrollment ID: I20180324000064 |
| Provider Name | Brittany Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598265399 PECOS PAC ID: 0941563613 Enrollment ID: I20180410002565 |
| Provider Name | Ayishia K Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669818043 PECOS PAC ID: 4385874296 Enrollment ID: I20180510000021 |
| Provider Name | Christie Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073023198 PECOS PAC ID: 3375808439 Enrollment ID: I20180521002612 |
| Provider Name | Cathy Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821173832 PECOS PAC ID: 9032291026 Enrollment ID: I20180524001192 |
| Provider Name | Nancy J Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497255632 PECOS PAC ID: 8729343660 Enrollment ID: I20180524002690 |
| Provider Name | Joshua Dragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760983324 PECOS PAC ID: 3173888724 Enrollment ID: I20180531001222 |
| Provider Name | Barbara A Mclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740794601 PECOS PAC ID: 9739444399 Enrollment ID: I20180531001631 |
| Provider Name | Tunja Rash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467950105 PECOS PAC ID: 3375808678 Enrollment ID: I20180606003150 |
| Provider Name | Amy J Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447785084 PECOS PAC ID: 8224383450 Enrollment ID: I20180612001933 |
| Provider Name | Nikita Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629309018 PECOS PAC ID: 4284877564 Enrollment ID: I20180619003237 |
| Provider Name | Kimberly Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881197457 PECOS PAC ID: 2365797800 Enrollment ID: I20180625000598 |
| Provider Name | Susan R Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265832836 PECOS PAC ID: 8426347956 Enrollment ID: I20180626001464 |
| Provider Name | Dana Michelle Kilgore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063911899 PECOS PAC ID: 9335495514 Enrollment ID: I20180629001939 |
| Provider Name | Vanna Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215435417 PECOS PAC ID: 8729334925 Enrollment ID: I20180630000122 |
| Provider Name | Shereda Saint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225547185 PECOS PAC ID: 5395004139 Enrollment ID: I20180709003147 |
| Provider Name | Christina Grover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396253084 PECOS PAC ID: 4284980772 Enrollment ID: I20180713002181 |
| Provider Name | Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688979 PECOS PAC ID: 0840551123 Enrollment ID: I20180716002155 |
| Provider Name | Pamela Denise Fuqua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255837001 PECOS PAC ID: 9032466263 Enrollment ID: I20180719001382 |
| Provider Name | Tammy Mutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427568476 PECOS PAC ID: 2567719529 Enrollment ID: I20180721000024 |
| Provider Name | Nicole H Umstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366944514 PECOS PAC ID: 5991052904 Enrollment ID: I20180723001902 |
| Provider Name | Kara Vinyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255846689 PECOS PAC ID: 8921355769 Enrollment ID: I20180724004203 |
| Provider Name | Sarah Delk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851893028 PECOS PAC ID: 7416204128 Enrollment ID: I20180725002859 |
| Provider Name | Laura Marie Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319866 PECOS PAC ID: 6608123286 Enrollment ID: I20180727002592 |
| Provider Name | Lauren Kutrip Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356853345 PECOS PAC ID: 7315207073 Enrollment ID: I20180727002795 |
| Provider Name | Tonya Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265898282 PECOS PAC ID: 5294030128 Enrollment ID: I20180731000487 |
| Provider Name | Gordon Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063567303 PECOS PAC ID: 7214285758 Enrollment ID: I20180731003030 |
| Provider Name | Tiffany L Forst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356859391 PECOS PAC ID: 4688922974 Enrollment ID: I20180802001614 |
| Provider Name | Raven Michelle Heatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456203 PECOS PAC ID: 9931457231 Enrollment ID: I20180802001717 |
| Provider Name | Elizabeth A Moore-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386163681 PECOS PAC ID: 5294083382 Enrollment ID: I20180806003266 |
| Provider Name | Pamela Poghen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366712770 PECOS PAC ID: 4082962907 Enrollment ID: I20180808002140 |
| Provider Name | Ashley Y Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679002059 PECOS PAC ID: 2365790136 Enrollment ID: I20180810000678 |
| Provider Name | Shannon Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114435484 PECOS PAC ID: 7012266414 Enrollment ID: I20180817002012 |
| Provider Name | Adrienne N Offutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427541309 PECOS PAC ID: 5395094643 Enrollment ID: I20180820001230 |
| Provider Name | Mollie Jo Kinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619476652 PECOS PAC ID: 5890041032 Enrollment ID: I20180824002980 |
| Provider Name | Kevin Paul Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639609720 PECOS PAC ID: 6406113430 Enrollment ID: I20180904003510 |
| Provider Name | Angela Cammarata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316424732 PECOS PAC ID: 5799035036 Enrollment ID: I20180906001602 |
| Provider Name | Hannah Poyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295239218 PECOS PAC ID: 9032472535 Enrollment ID: I20180910001304 |
| Provider Name | Robert L Kite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496872 PECOS PAC ID: 5991056384 Enrollment ID: I20180925000343 |
| Provider Name | Micheal Shane Blocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487134052 PECOS PAC ID: 5698026862 Enrollment ID: I20180927000716 |
| Provider Name | Tera Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316432602 PECOS PAC ID: 0446501498 Enrollment ID: I20181001003204 |
| Provider Name | Amber S Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730683640 PECOS PAC ID: 6305197369 Enrollment ID: I20181001003487 |
| Provider Name | Candice Marie Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894556 PECOS PAC ID: 0244582187 Enrollment ID: I20181004001045 |
| Provider Name | Jennifer Mitchell Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265925358 PECOS PAC ID: 8921350265 Enrollment ID: I20181015001409 |
| Provider Name | Katrina F Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134601321 PECOS PAC ID: 4284987199 Enrollment ID: I20181023001722 |
| Provider Name | Racheal M Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053890913 PECOS PAC ID: 9032462858 Enrollment ID: I20181024003099 |
| Provider Name | Mark Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255794 PECOS PAC ID: 6507119245 Enrollment ID: I20181027000029 |
| Provider Name | Ashleigh E Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801247945 PECOS PAC ID: 2961790076 Enrollment ID: I20181027000152 |
| Provider Name | Catherine Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225516636 PECOS PAC ID: 0749533198 Enrollment ID: I20181031003241 |
| Provider Name | Victoria Ruth Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730673021 PECOS PAC ID: 3072867290 Enrollment ID: I20181106003183 |
| Provider Name | Deborah Sherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346739448 PECOS PAC ID: 3476807637 Enrollment ID: I20181107001550 |
| Provider Name | Patrick Fair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639653165 PECOS PAC ID: 8224382320 Enrollment ID: I20181107003786 |
| Provider Name | Melissa Jane Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265941694 PECOS PAC ID: 2062766199 Enrollment ID: I20181108001390 |
| Provider Name | Casey L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489261 PECOS PAC ID: 6406100221 Enrollment ID: I20181114002359 |
| Provider Name | Erika L Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881174092 PECOS PAC ID: 1355694399 Enrollment ID: I20181116002701 |
| Provider Name | Kelly Britnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467999755 PECOS PAC ID: 4789968025 Enrollment ID: I20181119001404 |
| Provider Name | Regina Elizabeth Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376044453 PECOS PAC ID: 1658625181 Enrollment ID: I20181119002531 |
| Provider Name | Ashley D Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679872683 PECOS PAC ID: 8527245521 Enrollment ID: I20181212003525 |
| Provider Name | Rachael Neudecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831664770 PECOS PAC ID: 2365787629 Enrollment ID: I20181214002561 |
| Provider Name | Amber Leann Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679088488 PECOS PAC ID: 4880939776 Enrollment ID: I20181220003308 |
| Provider Name | James Wade Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477559649 PECOS PAC ID: 4385743822 Enrollment ID: I20190102001919 |
| Provider Name | Miranda M Beckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235605296 PECOS PAC ID: 7911244454 Enrollment ID: I20190123000099 |
| Provider Name | Christopher Delk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174011753 PECOS PAC ID: 0042557464 Enrollment ID: I20190123003088 |
| Provider Name | Stephanie Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164994406 PECOS PAC ID: 2062750136 Enrollment ID: I20190214002854 |
| Provider Name | Kimberly Modena Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518479542 PECOS PAC ID: 2769562487 Enrollment ID: I20190220002609 |
| Provider Name | Amanda Baskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639563794 PECOS PAC ID: 4789923152 Enrollment ID: I20190228003111 |
| Provider Name | Julie Fossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767417 PECOS PAC ID: 3072852086 Enrollment ID: I20190307003123 |
| Provider Name | Clint W Selvage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275097503 PECOS PAC ID: 3274873088 Enrollment ID: I20190313003061 |
| Provider Name | Micah Sellew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265997175 PECOS PAC ID: 8527308246 Enrollment ID: I20190315002120 |
| Provider Name | Kathleen Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023593597 PECOS PAC ID: 9830439322 Enrollment ID: I20190320000586 |
| Provider Name | Linda Gouker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861941007 PECOS PAC ID: 2466732045 Enrollment ID: I20190402000435 |
| Provider Name | Jacqueline Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245735943 PECOS PAC ID: 4486995388 Enrollment ID: I20190402002034 |
| Provider Name | Brittni Cripps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074480 PECOS PAC ID: 5597006460 Enrollment ID: I20190403001806 |
| Provider Name | Vickie Ann Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942717152 PECOS PAC ID: 5991049033 Enrollment ID: I20190408000416 |
| Provider Name | Casea Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730605395 PECOS PAC ID: 4082955331 Enrollment ID: I20190415000575 |
| Provider Name | Breanna Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982165353 PECOS PAC ID: 4385985530 Enrollment ID: I20190416001987 |
| Provider Name | Florentina Whitford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356772941 PECOS PAC ID: 0345553988 Enrollment ID: I20190417001636 |
| Provider Name | Jeffrey S Blocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376022327 PECOS PAC ID: 8628310786 Enrollment ID: I20190422001662 |
| Provider Name | Dawn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912468505 PECOS PAC ID: 8729320692 Enrollment ID: I20190424001322 |
| Provider Name | Jason A. Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083173488 PECOS PAC ID: 2769724434 Enrollment ID: I20190429001818 |
| Provider Name | Lacy Rebaka Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033517768 PECOS PAC ID: 8729306303 Enrollment ID: I20190501001223 |
| Provider Name | Melissa Holton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081905 PECOS PAC ID: 5597007997 Enrollment ID: I20190506001290 |
| Provider Name | Kathryn Marie Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174085443 PECOS PAC ID: 6103168489 Enrollment ID: I20190507002384 |
| Provider Name | Kathleen Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942761929 PECOS PAC ID: 8527301787 Enrollment ID: I20190510001416 |
| Provider Name | Kendra Simonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803467 PECOS PAC ID: 3577806090 Enrollment ID: I20190523001450 |
| Provider Name | Trent Jim-e Theriac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134686116 PECOS PAC ID: 0840533311 Enrollment ID: I20190524000631 |
| Provider Name | Linnea Desiree Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442049 PECOS PAC ID: 3476679952 Enrollment ID: I20190528002347 |
| Provider Name | Summer J Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821452285 PECOS PAC ID: 7012203300 Enrollment ID: I20190604001949 |
| Provider Name | Amy Rebecca Cudmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043773559 PECOS PAC ID: 3971836677 Enrollment ID: I20190612001950 |
| Provider Name | Rachel A Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275198814 PECOS PAC ID: 2264766542 Enrollment ID: I20190619002630 |
| Provider Name | Tiffany Trowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578028239 PECOS PAC ID: 3274867338 Enrollment ID: I20190624000711 |
| Provider Name | Jessica Gail Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538624580 PECOS PAC ID: 4587906474 Enrollment ID: I20190726001079 |
| Provider Name | Julie Ann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326540311 PECOS PAC ID: 7416283502 Enrollment ID: I20190726002392 |
| Provider Name | Holly Brooke Shourd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598326233 PECOS PAC ID: 1052649837 Enrollment ID: I20190819002315 |
| Provider Name | Ashley N Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104218312 PECOS PAC ID: 3779811559 Enrollment ID: I20190819002333 |
| Provider Name | Stacie Rothfus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578115739 PECOS PAC ID: 7113255704 Enrollment ID: I20190820003806 |
| Provider Name | Megan Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578912374 PECOS PAC ID: 3274861224 Enrollment ID: I20190828003726 |
| Provider Name | Samantha Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043870157 PECOS PAC ID: 9436488012 Enrollment ID: I20190906001413 |
| Provider Name | Shandee Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851945059 PECOS PAC ID: 8921337452 Enrollment ID: I20190910000166 |
| Provider Name | Deondra Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972157410 PECOS PAC ID: 8527397884 Enrollment ID: I20190911002435 |
| Provider Name | Judith L Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205390747 PECOS PAC ID: 3173852381 Enrollment ID: I20190913001706 |
| Provider Name | Rebecca Faye Skillern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427524982 PECOS PAC ID: 1850621798 Enrollment ID: I20190919001517 |
| Provider Name | Harmony Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483300 PECOS PAC ID: 2264714690 Enrollment ID: I20190930000519 |
| Provider Name | Beverly Ann Mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639637812 PECOS PAC ID: 7416288113 Enrollment ID: I20191010002187 |
| Provider Name | Jennifer Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063065209 PECOS PAC ID: 7810228335 Enrollment ID: I20191015002722 |
| Provider Name | Lauren E Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720548282 PECOS PAC ID: 4789916982 Enrollment ID: I20191021001786 |
| Provider Name | Margaret Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306491246 PECOS PAC ID: 1355673567 Enrollment ID: I20191021002077 |
| Provider Name | Morgan B Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154884286 PECOS PAC ID: 8527390509 Enrollment ID: I20191023003143 |
| Provider Name | Dawn Selvage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225592744 PECOS PAC ID: 5698007672 Enrollment ID: I20191023003234 |
| Provider Name | Raghib Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417518077 PECOS PAC ID: 0446582480 Enrollment ID: I20191024002015 |
| Provider Name | Susan Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417507435 PECOS PAC ID: 0042542920 Enrollment ID: I20191025000788 |
| Provider Name | Brande Nicole Pharris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770619777 PECOS PAC ID: 4981936762 Enrollment ID: I20191028002554 |
| Provider Name | Chloe E. Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952953051 PECOS PAC ID: 0345572087 Enrollment ID: I20191029002197 |
| Provider Name | Ewelina Freudenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205488202 PECOS PAC ID: 5294067914 Enrollment ID: I20191030002052 |
| Provider Name | Cynthia Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376193334 PECOS PAC ID: 4880026046 Enrollment ID: I20191111000213 |
| Provider Name | Kristy Leanne Cutshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992351175 PECOS PAC ID: 9436581246 Enrollment ID: I20191118000332 |
| Provider Name | Caroline Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164999355 PECOS PAC ID: 2961835731 Enrollment ID: I20191209002415 |
| Provider Name | Lynsey Danae Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013266 PECOS PAC ID: 5395178081 Enrollment ID: I20191211001114 |
| Provider Name | Christina N Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013431535 PECOS PAC ID: 5395003776 Enrollment ID: I20191213002396 |
| Provider Name | Walter Craig Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972157188 PECOS PAC ID: 9133553647 Enrollment ID: I20191216001942 |
| Provider Name | Whittlee Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447733977 PECOS PAC ID: 5092149526 Enrollment ID: I20191216002817 |
| Provider Name | Dana Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215580824 PECOS PAC ID: 5496189334 Enrollment ID: I20191230002442 |
| Provider Name | John Franklin Scates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640434 PECOS PAC ID: 3274967021 Enrollment ID: I20200102001781 |
| Provider Name | Mendy Fugate Pevahouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530454 PECOS PAC ID: 2567896285 Enrollment ID: I20200105000003 |
| Provider Name | Kennedy Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598302986 PECOS PAC ID: 6103251483 Enrollment ID: I20200114002887 |
| Provider Name | Pagela Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861030652 PECOS PAC ID: 6901231653 Enrollment ID: I20200127001894 |
| Provider Name | Mekeilah Nevaun Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881247740 PECOS PAC ID: 3971939562 Enrollment ID: I20200129002584 |
| Provider Name | Michaeline Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447890298 PECOS PAC ID: 8022444983 Enrollment ID: I20200212002304 |
| Provider Name | Leigh Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740421692 PECOS PAC ID: 1951454479 Enrollment ID: I20200217002511 |
| Provider Name | Alison Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235760273 PECOS PAC ID: 6709214620 Enrollment ID: I20200306001930 |
| Provider Name | Whitney Nicole Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972142685 PECOS PAC ID: 3476981317 Enrollment ID: I20200307000041 |
| Provider Name | Ashley Nicole Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313528 PECOS PAC ID: 9739517368 Enrollment ID: I20200314000007 |
| Provider Name | Erica Jo Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952952947 PECOS PAC ID: 0345678702 Enrollment ID: I20200317002702 |
| Provider Name | Morgan Taylor Hardison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124671953 PECOS PAC ID: 0143658500 Enrollment ID: I20200317002812 |
| Provider Name | Faith Roper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275190217 PECOS PAC ID: 5991134215 Enrollment ID: I20200407001418 |
| Provider Name | Corina Meares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962047886 PECOS PAC ID: 4486084589 Enrollment ID: I20200504000751 |
| Provider Name | Lauren Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891320040 PECOS PAC ID: 7719318450 Enrollment ID: I20200512002678 |
| Provider Name | Caroline A Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063064020 PECOS PAC ID: 5890126361 Enrollment ID: I20200518000658 |
| Provider Name | Jennifer Renee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174153555 PECOS PAC ID: 8224469648 Enrollment ID: I20200518003187 |
| Provider Name | Krystal Lynn Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255961751 PECOS PAC ID: 0749601920 Enrollment ID: I20200526000318 |
| Provider Name | Cori Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500857 PECOS PAC ID: 0749601789 Enrollment ID: I20200601000189 |
| Provider Name | Mary Catherine Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107181 PECOS PAC ID: 8224459003 Enrollment ID: I20200603000958 |
| Provider Name | Mary E Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477014827 PECOS PAC ID: 7113348863 Enrollment ID: I20200604000913 |
| Provider Name | Lindsey A Lundquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932760782 PECOS PAC ID: 3476885666 Enrollment ID: I20200731001804 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487263422 PECOS PAC ID: 6204251622 Enrollment ID: I20200803000760 |
| Provider Name | Austin Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255840492 PECOS PAC ID: 5092131631 Enrollment ID: I20200813001989 |
| Provider Name | Evan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770112096 PECOS PAC ID: 7911323282 Enrollment ID: I20200817003565 |
| Provider Name | Camellia N Mccommons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649889072 PECOS PAC ID: 2860818168 Enrollment ID: I20200818000475 |
| Provider Name | Kristin Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346858917 PECOS PAC ID: 6305262429 Enrollment ID: I20200819001643 |
| Provider Name | Kaitlin Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444668 PECOS PAC ID: 5698192474 Enrollment ID: I20200825000994 |
| Provider Name | Cody Alan Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396359899 PECOS PAC ID: 0143648089 Enrollment ID: I20200909003323 |
| Provider Name | Shenia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538777529 PECOS PAC ID: 1153749882 Enrollment ID: I20200914000407 |
| Provider Name | Adrian Rolle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780225227 PECOS PAC ID: 4880012525 Enrollment ID: I20200914000457 |
| Provider Name | Chelsi Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396094199 PECOS PAC ID: 9638597115 Enrollment ID: I20200915002604 |
| Provider Name | Atlanta Gayle Mccravey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538777081 PECOS PAC ID: 8123446598 Enrollment ID: I20200916002901 |
| Provider Name | John T Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023641990 PECOS PAC ID: 9133548217 Enrollment ID: I20200923003316 |
| Provider Name | Ashley E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477184844 PECOS PAC ID: 8921427824 Enrollment ID: I20200925001605 |
| Provider Name | Pamela F Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528676707 PECOS PAC ID: 4082033873 Enrollment ID: I20200928002810 |
| Provider Name | Alexis Danielle Rapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215577994 PECOS PAC ID: 6709205271 Enrollment ID: I20201001003179 |
| Provider Name | Elizabeth Katherine Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699399188 PECOS PAC ID: 9739508151 Enrollment ID: I20201002002041 |
| Provider Name | Michelle Sonnichsen-kumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821610668 PECOS PAC ID: 7113347105 Enrollment ID: I20201013001424 |
| Provider Name | Hope A Dretzka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710508254 PECOS PAC ID: 6800216748 Enrollment ID: I20201015001180 |
| Provider Name | Caitlin Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316565666 PECOS PAC ID: 5193145837 Enrollment ID: I20201019000332 |
| Provider Name | Rachel Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982220166 PECOS PAC ID: 7618397142 Enrollment ID: I20201021001891 |
| Provider Name | Jimmy Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225679376 PECOS PAC ID: 6204246176 Enrollment ID: I20201104000645 |
| Provider Name | Hannah Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740880582 PECOS PAC ID: 8820408693 Enrollment ID: I20201105001841 |
| Provider Name | Jason D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407454101 PECOS PAC ID: 2668883059 Enrollment ID: I20201116000404 |
| Provider Name | Carson Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215542931 PECOS PAC ID: 8022429281 Enrollment ID: I20201119003334 |
| Provider Name | Candace Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720694516 PECOS PAC ID: 3173934296 Enrollment ID: I20201121000224 |
| Provider Name | Shannon Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881112225 PECOS PAC ID: 2668883653 Enrollment ID: I20201123003008 |
| Provider Name | Maurine E Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528688017 PECOS PAC ID: 0042621740 Enrollment ID: I20201202000768 |
| Provider Name | Kent Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750893889 PECOS PAC ID: 7618223645 Enrollment ID: I20201203000444 |
| Provider Name | Danielle Sarah Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841751260 PECOS PAC ID: 6103238647 Enrollment ID: I20201207002926 |
| Provider Name | Nicholas Hulshof Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164045506 PECOS PAC ID: 2365854296 Enrollment ID: I20201216003173 |
| Provider Name | Iesha Marlena Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023649662 PECOS PAC ID: 8123430071 Enrollment ID: I20201217000448 |
| Provider Name | Alicia Marie Razzino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346504099 PECOS PAC ID: 9638335581 Enrollment ID: I20201217002382 |
| Provider Name | Dea Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578169090 PECOS PAC ID: 6608288402 Enrollment ID: I20201221001107 |
| Provider Name | Heather Ryan Karnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578173209 PECOS PAC ID: 5193137834 Enrollment ID: I20201222000377 |
| Provider Name | Donna L. Coley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712452 PECOS PAC ID: 6800208406 Enrollment ID: I20201223000156 |
| Provider Name | Kristen G Clingenpeel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568060119 PECOS PAC ID: 5698188134 Enrollment ID: I20201230002210 |
| Provider Name | Heather M Fraysier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962098285 PECOS PAC ID: 4981017373 Enrollment ID: I20201231001859 |
| Provider Name | Alicia Schroepfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912436007 PECOS PAC ID: 9335410836 Enrollment ID: I20210105000810 |
| Provider Name | Breanna Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831716240 PECOS PAC ID: 3870910094 Enrollment ID: I20210107000766 |
| Provider Name | Kristie Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154910230 PECOS PAC ID: 6709290273 Enrollment ID: I20210122002610 |
| Provider Name | Meredith Copley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922600501 PECOS PAC ID: 8820402209 Enrollment ID: I20210126001311 |
| Provider Name | Suzanne Rae Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043814304 PECOS PAC ID: 0446664460 Enrollment ID: I20210202001248 |
| Provider Name | Angela Vore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598371098 PECOS PAC ID: 5193139970 Enrollment ID: I20210208001156 |
| Provider Name | Aulora Hammers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902465453 PECOS PAC ID: 4587091038 Enrollment ID: I20210209000317 |
| Provider Name | Terry Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538751854 PECOS PAC ID: 6103231568 Enrollment ID: I20210216003231 |
| Provider Name | Emily Kay Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477171700 PECOS PAC ID: 1951716224 Enrollment ID: I20210218001657 |
| Provider Name | Lauren Megan Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811500739 PECOS PAC ID: 2062828320 Enrollment ID: I20210310003177 |
| Provider Name | Tiffany Nicole Guerrieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851919062 PECOS PAC ID: 7810303815 Enrollment ID: I20210316002175 |
| Provider Name | Lori Yancey-ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679191829 PECOS PAC ID: 9931516770 Enrollment ID: I20210324000056 |
| Provider Name | Alicia S Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306238035 PECOS PAC ID: 5890102487 Enrollment ID: I20210326001159 |
| Provider Name | Kirkland Sturgis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851983555 PECOS PAC ID: 7012324395 Enrollment ID: I20210402000963 |
| Provider Name | Amy S Akridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407469919 PECOS PAC ID: 5496163966 Enrollment ID: I20210421003015 |
| Provider Name | Kaitlyn Brooke Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427634583 PECOS PAC ID: 1153730346 Enrollment ID: I20210428002517 |
| Provider Name | Delilah Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396334389 PECOS PAC ID: 8729497805 Enrollment ID: I20210430000746 |
| Provider Name | Jennifer Renee Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134709454 PECOS PAC ID: 2264841048 Enrollment ID: I20210506002781 |
| Provider Name | Tara Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092864 PECOS PAC ID: 1759790009 Enrollment ID: I20210517002492 |
| Provider Name | Sylvia Nicole Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265024913 PECOS PAC ID: 1850791948 Enrollment ID: I20210610002710 |
| Provider Name | Sheryl Teachenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720334998 PECOS PAC ID: 9830326875 Enrollment ID: I20210614001417 |
| Provider Name | Shelby Williford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992387351 PECOS PAC ID: 9436559002 Enrollment ID: I20210618001004 |
| Provider Name | Kristin Russell Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508182726 PECOS PAC ID: 4486824406 Enrollment ID: I20210629001362 |
| Provider Name | Stephanie Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316516230 PECOS PAC ID: 3173925674 Enrollment ID: I20210707000123 |
| Provider Name | Michael J Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730757600 PECOS PAC ID: 4284941899 Enrollment ID: I20210720000530 |
| Provider Name | Rene Massaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487237871 PECOS PAC ID: 7618370461 Enrollment ID: I20210730001867 |
| Provider Name | Makiya Rinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528649084 PECOS PAC ID: 8123422938 Enrollment ID: I20210802000678 |
| Provider Name | Maria Cada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871054460 PECOS PAC ID: 0244561140 Enrollment ID: I20210819001320 |
| Provider Name | Lashanda Ida Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316525959 PECOS PAC ID: 4486059078 Enrollment ID: I20210819002367 |
| Provider Name | Jenny Kennedy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427630672 PECOS PAC ID: 0042615387 Enrollment ID: I20210824002816 |
| Provider Name | Jacob Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104387992 PECOS PAC ID: 8123448735 Enrollment ID: I20210902002070 |
| Provider Name | Maura Elizabeth-grace Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326632118 PECOS PAC ID: 0042617540 Enrollment ID: I20210927001458 |
| Provider Name | April Michelle Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228736 PECOS PAC ID: 3173920691 Enrollment ID: I20210927002442 |
| Provider Name | Conwedee E Karmue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487328944 PECOS PAC ID: 1658778931 Enrollment ID: I20210929002369 |
| Provider Name | Melissa Gail Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437732138 PECOS PAC ID: 1052719226 Enrollment ID: I20211004000219 |
| Provider Name | Stephanie Lynn Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932727112 PECOS PAC ID: 3375940190 Enrollment ID: I20211008000873 |
| Provider Name | Tami Lovejoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598427932 PECOS PAC ID: 4385032416 Enrollment ID: I20211022000810 |
| Provider Name | Delaina Lynn Roney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912673716 PECOS PAC ID: 1153719216 Enrollment ID: I20211022001890 |
| Provider Name | Zachary Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346868635 PECOS PAC ID: 8628466505 Enrollment ID: I20211026001502 |
| Provider Name | Cijiana Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700360328 PECOS PAC ID: 0345585683 Enrollment ID: I20211026002835 |
| Provider Name | Michael J Zappas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013191568 PECOS PAC ID: 7618002924 Enrollment ID: I20211029002120 |
| Provider Name | Kristina Michelle Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052072 PECOS PAC ID: 5496144883 Enrollment ID: I20211104002215 |
| Provider Name | Erin Paige Mccarroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275205551 PECOS PAC ID: 3577952951 Enrollment ID: I20211105002629 |
| Provider Name | Cassandra Leigh Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407511298 PECOS PAC ID: 1759770860 Enrollment ID: I20211111000462 |
| Provider Name | Amy Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144991431 PECOS PAC ID: 5991194748 Enrollment ID: I20211116002266 |
| Provider Name | Alexis Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538794540 PECOS PAC ID: 9436570538 Enrollment ID: I20211124000621 |
| Provider Name | Carol Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659917755 PECOS PAC ID: 6406244151 Enrollment ID: I20211124000786 |
| Provider Name | Deborah Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841689072 PECOS PAC ID: 8921323205 Enrollment ID: I20211201001301 |
| Provider Name | Lauren Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639481 PECOS PAC ID: 7113317892 Enrollment ID: I20211213001082 |
| Provider Name | Tina Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700542974 PECOS PAC ID: 5890185573 Enrollment ID: I20211213001297 |
| Provider Name | Bailey Doepel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417575788 PECOS PAC ID: 5698166718 Enrollment ID: I20211229000037 |
| Provider Name | Jayshree R Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336767672 PECOS PAC ID: 9739570508 Enrollment ID: I20220105001708 |
| Provider Name | Laura Elizabeth Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235700741 PECOS PAC ID: 8224420401 Enrollment ID: I20220120001071 |
| Provider Name | Brittany Dochety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750923389 PECOS PAC ID: 2860826617 Enrollment ID: I20220121002351 |
| Provider Name | Sherry Franklin Eubank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669136248 PECOS PAC ID: 1759774466 Enrollment ID: I20220201002424 |
| Provider Name | Eric Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114680451 PECOS PAC ID: 7719370170 Enrollment ID: I20220207001495 |
| Provider Name | Sherry Michelle Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548929920 PECOS PAC ID: 2163815424 Enrollment ID: I20220209000385 |
| Provider Name | Charles Wayne Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043962541 PECOS PAC ID: 5597158808 Enrollment ID: I20220209002123 |
| Provider Name | Lisa Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720732175 PECOS PAC ID: 5496018681 Enrollment ID: I20220214001234 |
| Provider Name | Rachel Tosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124772587 PECOS PAC ID: 0547653578 Enrollment ID: I20220215000837 |
| Provider Name | Lorie Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821689118 PECOS PAC ID: 4789077728 Enrollment ID: I20220215001445 |
| Provider Name | Barbara Baker Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366194482 PECOS PAC ID: 9335533710 Enrollment ID: I20220301000821 |
| Provider Name | Haley L Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750037057 PECOS PAC ID: 9133513450 Enrollment ID: I20220303000381 |
| Provider Name | Shelby Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316601909 PECOS PAC ID: 9739573882 Enrollment ID: I20220307000617 |
| Provider Name | Ashley Danielle Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477205813 PECOS PAC ID: 4789078700 Enrollment ID: I20220308000925 |
| Provider Name | Kakecha Tiwana Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447478342 PECOS PAC ID: 6800284100 Enrollment ID: I20220317000482 |
| Provider Name | Amanda Staton White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578211868 PECOS PAC ID: 3870988272 Enrollment ID: I20220322001703 |
| Provider Name | Amanda Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336790260 PECOS PAC ID: 3476986886 Enrollment ID: I20220325001689 |
| Provider Name | Kimberly Russom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508506536 PECOS PAC ID: 6406242148 Enrollment ID: I20220406001999 |
| Provider Name | Paul M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518238062 PECOS PAC ID: 0547682718 Enrollment ID: I20220407001732 |
| Provider Name | Colton N Simbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902552185 PECOS PAC ID: 4688061815 Enrollment ID: I20220418002303 |
| Provider Name | Charity Krista Zoodsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457006215 PECOS PAC ID: 5294122321 Enrollment ID: I20220420000895 |
| Provider Name | Shelby Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073036786 PECOS PAC ID: 5193122042 Enrollment ID: I20220427000888 |
| Provider Name | Jean Inderfurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851959712 PECOS PAC ID: 6002145695 Enrollment ID: I20220503000468 |
| Provider Name | Candace Paige Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861152290 PECOS PAC ID: 4284021601 Enrollment ID: I20220503001348 |
| Provider Name | Jessica Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965614 PECOS PAC ID: 9133516594 Enrollment ID: I20220504000156 |
| Provider Name | Michael Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360773 PECOS PAC ID: 1254659634 Enrollment ID: I20220511001177 |
| Provider Name | Tonya Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558664854 PECOS PAC ID: 5395122360 Enrollment ID: I20220512000833 |
| Provider Name | Sherelen Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467947267 PECOS PAC ID: 5395094296 Enrollment ID: I20220602000056 |
| Provider Name | Tracy Ann Oros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013951 PECOS PAC ID: 3971936519 Enrollment ID: I20220610001315 |
| Provider Name | Sara Jessica Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700524352 PECOS PAC ID: 2365821659 Enrollment ID: I20220616000622 |
| Provider Name | Zachary Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083271480 PECOS PAC ID: 7214317478 Enrollment ID: I20220706000146 |
| Provider Name | Serena J Proudfoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417232 PECOS PAC ID: 1254711310 Enrollment ID: I20220706003975 |
| Provider Name | Carolyn N Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679211650 PECOS PAC ID: 9133500671 Enrollment ID: I20220715000149 |
| Provider Name | Patricia Mae Roysden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508598822 PECOS PAC ID: 5496136418 Enrollment ID: I20220721001270 |
| Provider Name | Tameka Sledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235870064 PECOS PAC ID: 4688055585 Enrollment ID: I20220725001151 |
| Provider Name | Hannah Watts-sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619601762 PECOS PAC ID: 8123400702 Enrollment ID: I20220728002163 |
| Provider Name | Casey Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144966656 PECOS PAC ID: 1052793528 Enrollment ID: I20220729002480 |
| Provider Name | Elizabeth Rose Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841949732 PECOS PAC ID: 4880077577 Enrollment ID: I20220812001230 |
| Provider Name | Anna Nicole Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992433270 PECOS PAC ID: 5890179667 Enrollment ID: I20220826002931 |
| Provider Name | Lindsey Paige Pendergrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073232013 PECOS PAC ID: 8022492347 Enrollment ID: I20220904000081 |
| Provider Name | Marissa Kirchenbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851890693 PECOS PAC ID: 2264793959 Enrollment ID: I20220909002511 |
| Provider Name | Jennifer Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114648490 PECOS PAC ID: 5890170542 Enrollment ID: I20220915001779 |
| Provider Name | Michael Haight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083798169 PECOS PAC ID: 2466539408 Enrollment ID: I20220923000159 |
| Provider Name | Courtney Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407492325 PECOS PAC ID: 7113352279 Enrollment ID: I20220926003063 |
| Provider Name | Kristen N Salyards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831728559 PECOS PAC ID: 0941631576 Enrollment ID: I20220930001016 |
| Provider Name | Kelli Satterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770206716 PECOS PAC ID: 3678959392 Enrollment ID: I20221004002413 |
| Provider Name | Kimberly Ramos Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710612346 PECOS PAC ID: 2860878279 Enrollment ID: I20221007000400 |
| Provider Name | Andrea Marie Dewinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629797527 PECOS PAC ID: 8628454063 Enrollment ID: I20221007001674 |
| Provider Name | Kevin Nickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538884432 PECOS PAC ID: 8729454806 Enrollment ID: I20221013002995 |
| Provider Name | Aaron Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386368611 PECOS PAC ID: 2466828504 Enrollment ID: I20221014001746 |
| Provider Name | Cori Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407571284 PECOS PAC ID: 2860868809 Enrollment ID: I20221017002545 |
| Provider Name | Kalan Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636711 PECOS PAC ID: 9133402597 Enrollment ID: I20221018002368 |
| Provider Name | Chenoa Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760102289 PECOS PAC ID: 8820464449 Enrollment ID: I20221021001238 |
| Provider Name | Amanda Sharon Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053963736 PECOS PAC ID: 3577939925 Enrollment ID: I20221026001564 |
| Provider Name | Kindall Billingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508585399 PECOS PAC ID: 3779950910 Enrollment ID: I20221101002175 |
| Provider Name | Deigo Cacho-tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922763903 PECOS PAC ID: 1153715024 Enrollment ID: I20221103000784 |
| Provider Name | Carmen Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457504052 PECOS PAC ID: 9234506023 Enrollment ID: I20221108002087 |
| Provider Name | Doug Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972210359 PECOS PAC ID: 7911374426 Enrollment ID: I20221111001807 |
| Provider Name | Sarah Beaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558078899 PECOS PAC ID: 6709254238 Enrollment ID: I20221115000684 |
| Provider Name | Dreama Nichole Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982321790 PECOS PAC ID: 9335517341 Enrollment ID: I20221123001127 |
| Provider Name | Shelby Jean Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932817988 PECOS PAC ID: 6608244637 Enrollment ID: I20221123001693 |
| Provider Name | Catherine Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750917563 PECOS PAC ID: 8921474446 Enrollment ID: I20221123001851 |
| Provider Name | Brittany Lee Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942607 PECOS PAC ID: 4385012020 Enrollment ID: I20221130000886 |
| Provider Name | Andrea Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720797475 PECOS PAC ID: 4284003807 Enrollment ID: I20221202002310 |
| Provider Name | Philip Brian Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720716152 PECOS PAC ID: 2163891714 Enrollment ID: I20221205000255 |
| Provider Name | Vanessa Hixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316675549 PECOS PAC ID: 1557745841 Enrollment ID: I20221206000343 |
| Provider Name | Susan Rush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841908589 PECOS PAC ID: 5698144871 Enrollment ID: I20221209001735 |
| Provider Name | Martha Gitau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467162503 PECOS PAC ID: 6406225283 Enrollment ID: I20221219000434 |
| Provider Name | Halli Paige Haywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114648383 PECOS PAC ID: 2567832280 Enrollment ID: I20221221000906 |
| Provider Name | Eulala Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225627748 PECOS PAC ID: 0547678070 Enrollment ID: I20221222000007 |
| Provider Name | Caroline Rose Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407571185 PECOS PAC ID: 8325418999 Enrollment ID: I20221226000188 |
| Provider Name | Steven Croghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932646163 PECOS PAC ID: 8921383506 Enrollment ID: I20221227001354 |
| Provider Name | Bailie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427760255 PECOS PAC ID: 0143690255 Enrollment ID: I20230106000958 |
| Provider Name | Meri Melodie Shanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215415534 PECOS PAC ID: 4385071935 Enrollment ID: I20230109000240 |
| Provider Name | Jacqueline Kathy Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408961 PECOS PAC ID: 3173993151 Enrollment ID: I20230109001750 |
| Provider Name | Tarah Dawn Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154066314 PECOS PAC ID: 1153791926 Enrollment ID: I20230112001770 |
| Provider Name | Michael Brett Rolison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861153694 PECOS PAC ID: 3678944816 Enrollment ID: I20230125002583 |
| Provider Name | Raelan Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174238984 PECOS PAC ID: 9436520558 Enrollment ID: I20230126002879 |
| Provider Name | Deneshia Shanta Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558081281 PECOS PAC ID: 4486026291 Enrollment ID: I20230203001801 |
| Provider Name | Harold Chadwick Fitzhugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871215707 PECOS PAC ID: 7012389869 Enrollment ID: I20230206000050 |
| Provider Name | Rachel Nicole Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386355790 PECOS PAC ID: 5890167282 Enrollment ID: I20230213001159 |
| Provider Name | Yolanda Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609599083 PECOS PAC ID: 7719350792 Enrollment ID: I20230223000401 |
| Provider Name | Kelsey Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340412 PECOS PAC ID: 5092188946 Enrollment ID: I20230224000569 |
| Provider Name | Erica Flake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134441587 PECOS PAC ID: 5092848770 Enrollment ID: I20230302000490 |
| Provider Name | Sajani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174221899 PECOS PAC ID: 7517330012 Enrollment ID: I20230303001118 |
| Provider Name | Megan Dugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083313225 PECOS PAC ID: 5698149722 Enrollment ID: I20230313001738 |
| Provider Name | Rebekah Boyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376208355 PECOS PAC ID: 3274916820 Enrollment ID: I20230314002175 |
| Provider Name | Alanna Rhiannon Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467151894 PECOS PAC ID: 3072987809 Enrollment ID: I20230319000096 |
| Provider Name | Christy Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760477632 PECOS PAC ID: 1153314547 Enrollment ID: I20230328000819 |
| Provider Name | Amelia Aguiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790857290 PECOS PAC ID: 1254331093 Enrollment ID: I20230328001394 |
| Provider Name | Deshonna Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700528486 PECOS PAC ID: 5395116594 Enrollment ID: I20230404003056 |
| Provider Name | Amanda L Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861106536 PECOS PAC ID: 1850766593 Enrollment ID: I20230411000353 |
| Provider Name | Shantina Marie Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962100768 PECOS PAC ID: 6901271527 Enrollment ID: I20230413001897 |
| Provider Name | Jennifer H Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275228207 PECOS PAC ID: 8921473281 Enrollment ID: I20230419000675 |
| Provider Name | Heather Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437882446 PECOS PAC ID: 3072996990 Enrollment ID: I20230419001327 |
| Provider Name | Ashley Eden Mesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790486306 PECOS PAC ID: 4082089354 Enrollment ID: I20230419001371 |
| Provider Name | Trisha Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700548369 PECOS PAC ID: 8123483450 Enrollment ID: I20230420001525 |
| Provider Name | Jaclyn Nicole Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043917297 PECOS PAC ID: 4183089394 Enrollment ID: I20230421002175 |
| Provider Name | Katherine Elizabeth James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205530649 PECOS PAC ID: 9234594342 Enrollment ID: I20230425001019 |
| Provider Name | Martha Lynn Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558064527 PECOS PAC ID: 0446615488 Enrollment ID: I20230427000586 |
| Provider Name | Kellie M Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568706679 PECOS PAC ID: 1456503424 Enrollment ID: I20230427001399 |
| Provider Name | Jonathan Snipes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821250077 PECOS PAC ID: 8123298254 Enrollment ID: I20230503001654 |
| Provider Name | Whitney Stirewalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629770862 PECOS PAC ID: 6305201948 Enrollment ID: I20230503002220 |
| Provider Name | Amy Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952098840 PECOS PAC ID: 4486019833 Enrollment ID: I20230508002104 |
| Provider Name | Season Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396441390 PECOS PAC ID: 9537525654 Enrollment ID: I20230516001979 |
| Provider Name | Bailey Lynn Tullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720798580 PECOS PAC ID: 1052777661 Enrollment ID: I20230523002342 |
| Provider Name | Caroline Hendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942903885 PECOS PAC ID: 4082071550 Enrollment ID: I20230530000896 |
| Provider Name | Kayla Brianne Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952095796 PECOS PAC ID: 4981062114 Enrollment ID: I20230621001525 |
| Provider Name | Carrie Woodby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518657 PECOS PAC ID: 7810119179 Enrollment ID: I20230622002349 |
| Provider Name | Linda Denise Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396434619 PECOS PAC ID: 6002274909 Enrollment ID: I20230626001771 |
| Provider Name | Sarah Alexandria Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417631144 PECOS PAC ID: 6901264647 Enrollment ID: I20230628000461 |
| Provider Name | James Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346929536 PECOS PAC ID: 3072973916 Enrollment ID: I20230724002577 |
| Provider Name | Catina Reece Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871285858 PECOS PAC ID: 3476914037 Enrollment ID: I20230728001399 |
| Provider Name | April Dawn Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255959425 PECOS PAC ID: 2860875432 Enrollment ID: I20230808002727 |
| Provider Name | Johanna Loucks Galyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649915893 PECOS PAC ID: 8527420231 Enrollment ID: I20230811003037 |
| Provider Name | Sierra Dorris Bridgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477232007 PECOS PAC ID: 7719349463 Enrollment ID: I20230814001206 |
| Provider Name | Brittany Jordan Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225720915 PECOS PAC ID: 0749642221 Enrollment ID: I20230815003500 |
| Provider Name | Julie Coulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893147 PECOS PAC ID: 8527124940 Enrollment ID: I20230815004407 |
| Provider Name | Julie L Styles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295429843 PECOS PAC ID: 1254794266 Enrollment ID: I20230823003943 |
| Provider Name | Shannon Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134764608 PECOS PAC ID: 1759788995 Enrollment ID: I20230825000291 |
| Provider Name | Latonya Renee Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780293704 PECOS PAC ID: 4880007541 Enrollment ID: I20230907000562 |
| Provider Name | Jennifer Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295353555 PECOS PAC ID: 6204280738 Enrollment ID: I20231002002328 |
| Provider Name | Amy Katherine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478873 PECOS PAC ID: 5799130928 Enrollment ID: I20231009001673 |
| Provider Name | Francisca Otoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760262281 PECOS PAC ID: 1355796418 Enrollment ID: I20231009003244 |
| Provider Name | Torry Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750924189 PECOS PAC ID: 9436576188 Enrollment ID: I20231011002827 |
| Provider Name | Sarah Eileen Mcclenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467138511 PECOS PAC ID: 0345695250 Enrollment ID: I20231012003347 |
| Provider Name | Rachel Nicole Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811679178 PECOS PAC ID: 1658726385 Enrollment ID: I20231016001388 |
| Provider Name | Caroline C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326822925 PECOS PAC ID: 2860848165 Enrollment ID: I20231023002610 |
| Provider Name | Aubrey Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780386888 PECOS PAC ID: 1951757269 Enrollment ID: I20231023003083 |
| Provider Name | Teresa Lynn Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093414914 PECOS PAC ID: 1052768629 Enrollment ID: I20231103002865 |
| Provider Name | Megan Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739564 PECOS PAC ID: 7416210240 Enrollment ID: I20231106001813 |
| Provider Name | Nicholas Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902313844 PECOS PAC ID: 6507120847 Enrollment ID: I20231110000979 |
| Provider Name | Erica Mcwhorter-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982852893 PECOS PAC ID: 9739374620 Enrollment ID: I20231116003138 |
| Provider Name | Krista Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811562333 PECOS PAC ID: 9537533542 Enrollment ID: I20231117000966 |
| Provider Name | Ashley Brooke Booher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407546203 PECOS PAC ID: 2365890068 Enrollment ID: I20231117002410 |
| Provider Name | Ariel Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417661364 PECOS PAC ID: 4688049554 Enrollment ID: I20231122001067 |
| Provider Name | Stacy Schamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003118019 PECOS PAC ID: 3375797095 Enrollment ID: I20231122001119 |
| Provider Name | Kasey Leann Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144009275 PECOS PAC ID: 3577911999 Enrollment ID: I20231127000266 |
| Provider Name | Jessica Marie Huening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407628134 PECOS PAC ID: 6002264298 Enrollment ID: I20231129000287 |
| Provider Name | Nicholas Hampton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740717420 PECOS PAC ID: 0345697140 Enrollment ID: I20231208003034 |
| Provider Name | Brandi Batten |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1467007716 PECOS PAC ID: 5092164301 Enrollment ID: I20231212003297 |
| Provider Name | Sky S Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215701230 PECOS PAC ID: 0547610388 Enrollment ID: I20231220001678 |
| Provider Name | Mark Hallie Mcmullan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275309551 PECOS PAC ID: 3476903196 Enrollment ID: I20231221000797 |
| Provider Name | Kenneth Kominos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760257927 PECOS PAC ID: 8628428729 Enrollment ID: I20240102003717 |
| Provider Name | Lindsay Seagraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619367893 PECOS PAC ID: 2466763834 Enrollment ID: I20240104002674 |
| Provider Name | Laura Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780450718 PECOS PAC ID: 8325499981 Enrollment ID: I20240108004422 |
| Provider Name | Krystal Osinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710587944 PECOS PAC ID: 5395151013 Enrollment ID: I20240109000534 |
| Provider Name | Christina Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679144901 PECOS PAC ID: 5597169748 Enrollment ID: I20240110003326 |
| Provider Name | Amanda Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770619074 PECOS PAC ID: 5698146009 Enrollment ID: I20240117002513 |
| Provider Name | Sarah Hornby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487325551 PECOS PAC ID: 7517356314 Enrollment ID: I20240124000751 |
| Provider Name | Michelle Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982213591 PECOS PAC ID: 0749607372 Enrollment ID: I20240130000943 |
| Provider Name | Kimberly Nicole Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710671581 PECOS PAC ID: 8426401985 Enrollment ID: I20240131003227 |
| Provider Name | Elizabeth Stewart Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730956889 PECOS PAC ID: 2860845344 Enrollment ID: I20240131003761 |
| Provider Name | James Pennington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063098192 PECOS PAC ID: 4688017486 Enrollment ID: I20240208002773 |
| Provider Name | Danyelle Jean Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922373802 PECOS PAC ID: 3173966587 Enrollment ID: I20240213000351 |
| Provider Name | Jennifer Shinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760052534 PECOS PAC ID: 4789087289 Enrollment ID: I20240214001341 |
| Provider Name | Hannah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568223428 PECOS PAC ID: 6507200102 Enrollment ID: I20240222002319 |
| Provider Name | Lee R Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275221293 PECOS PAC ID: 3476998964 Enrollment ID: I20240223001996 |
| Provider Name | Sage Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205604923 PECOS PAC ID: 1456796952 Enrollment ID: I20240223002084 |
| Provider Name | Lisa Renee Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486725 PECOS PAC ID: 1850680497 Enrollment ID: I20240228003100 |
| Provider Name | Glenda D Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881137446 PECOS PAC ID: 1254777444 Enrollment ID: I20240311001250 |
| Provider Name | Christie Janice Goats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366204224 PECOS PAC ID: 2365888146 Enrollment ID: I20240314004358 |
| Provider Name | Melinda Swinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003983198 PECOS PAC ID: 3173960614 Enrollment ID: I20240320001916 |
| Provider Name | Dixie Darlene Dabbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184490484 PECOS PAC ID: 2062859937 Enrollment ID: I20240327002429 |
| Provider Name | Uju Annie Onyia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851156574 PECOS PAC ID: 5799123568 Enrollment ID: I20240329002270 |
| Provider Name | Stephanie Embry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891551016 PECOS PAC ID: 9335587583 Enrollment ID: I20240405003223 |
| Provider Name | Kelly Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225578305 PECOS PAC ID: 9638517899 Enrollment ID: I20240405003595 |
| Provider Name | Kristina Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235438144 PECOS PAC ID: 6507034980 Enrollment ID: I20240408000933 |
| Provider Name | Niki Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407587538 PECOS PAC ID: 8022470988 Enrollment ID: I20240409004170 |
| Provider Name | Diamond Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083488043 PECOS PAC ID: 1658719521 Enrollment ID: I20240411000259 |
| Provider Name | Hannah Timson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700640711 PECOS PAC ID: 7911346598 Enrollment ID: I20240416000162 |
| Provider Name | Rachel Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851155261 PECOS PAC ID: 0143669788 Enrollment ID: I20240416002412 |
| Provider Name | Tyrah Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932735727 PECOS PAC ID: 8729404843 Enrollment ID: I20240424003256 |
| Provider Name | Brooke Jones Popplewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134983778 PECOS PAC ID: 1557701190 Enrollment ID: I20240430003715 |
| Provider Name | Sonya Denise Sartain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922851880 PECOS PAC ID: 0749621449 Enrollment ID: I20240513001839 |
| Provider Name | Paris Bath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770343493 PECOS PAC ID: 5597207654 Enrollment ID: I20240605001194 |
| Provider Name | Susan Yarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558898163 PECOS PAC ID: 1759798630 Enrollment ID: I20240607000323 |
| Provider Name | Kristy L Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114770971 PECOS PAC ID: 9436691086 Enrollment ID: I20240611001011 |
Collinwood Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Hwy 13 S, Collinwood, TN 38450 Phone: 931-724-9135 Fax: 931-724-4572 | |
Mrmg Collinwood Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 Highway 13 S, Collinwood, TN 38450 Phone: 931-724-9135 Fax: 931-724-4572 |