| Health Petal | |
|
2370 Quinland Lake Rd Ste 150 Cookeville TN 38506-7525 | |
| (615) 604-0531 | |
| Not Available |
| Full Name | Health Petal |
|---|---|
| Speciality | General Practice |
| Location | 2370 Quinland Lake Rd Ste 150, Cookeville, Tennessee |
| Authorized Official Name and Position | Lakita Mae Ramsey (OWNER) |
| Authorized Official Contact | 4237362426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Petal 2370 Quinland Lake Rd Ste 150 Cookeville TN 38506-7525 Ph: () - | Health Petal 2370 Quinland Lake Rd Ste 150 Cookeville TN 38506-7525 Ph: (615) 604-0531 |
| NPI Number | 1326628389 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 2264831403 |
|---|---|
| Medicare Enrollment ID | O20210520001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326628389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
| Provider Name | Lakita Mae Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825829 PECOS PAC ID: 3173922317 Enrollment ID: I20210524001305 |
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