| Afi Nono Kpakossou, | |
|
6570 Unity St, Thomasville, NC 27360-4968 | |
| (336) 965-0388 | |
| Not Available |
| Full Name | Afi Nono Kpakossou |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 6570 Unity St, Thomasville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497463137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | KPAK-UKTGS (North Carolina) | Primary |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
| Entity Name | Vitae Health Medical North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265064414 PECOS PAC ID: 7719317932 Enrollment ID: O20200430000531 |
| Entity Name | The Neil Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518142280 PECOS PAC ID: 2365581196 Enrollment ID: O20200513003275 |
| Entity Name | Pinnacle Behavioral Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023600491 PECOS PAC ID: 5991110470 Enrollment ID: O20210215001254 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Afi Nono Kpakossou, 6570 Unity St, Thomasville, NC 27360-4968 Ph: (336) 965-0388 | Afi Nono Kpakossou, 6570 Unity St, Thomasville, NC 27360-4968 Ph: (336) 965-0388 |
Ashley Hudgins Clark, AGPC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Pineywood Rd, Thomasville, NC 27360 Phone: 336-475-8121 Fax: 336-475-5377 | |
Tiffany Allen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 W Holly Hill Rd, Thomasville, NC 27360 Phone: 336-475-9164 Fax: 336-475-6619 | |
Mrs. Christin Cooper Chaney, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 207 Old Lexington Rd, Thomasville, NC 27360 Phone: 336-476-2725 | |
June Anne Fawcett-hardy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1122 Randolph St Ste 110, Thomasville, NC 27360 Phone: 336-481-0739 Fax: 336-481-0738 | |
Ms. Janice C Johnson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Lexington Ave, Thomasville, NC 27360 Phone: 336-475-6139 Fax: 336-475-3331 | |
Samantha Lee Bolanos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Old Lexington Rd, Thomasville, NC 27360 Phone: 336-476-2450 | |
Hobie Proctor, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Arthur Dr, Thomasville, NC 27360 Phone: 336-475-2348 |