| Mrs Amanda M Holder, FNP-C | |
|
1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 | |
| (901) 837-7979 | |
| Not Available |
| Full Name | Mrs Amanda M Holder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1880 Old Highway 51 S Ste C, Brighton, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164199089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 31927 (Tennessee) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 219734 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Of Memphis | Memphis, TN | Hospital |
| Baptist Memorial Hospital Tipton | Covington, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Group, Llc | 0941480131 | 108 |
| Entity Name | Primary Care Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110204000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda M Holder, FNP-C 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 Ph: (901) 837-7979 | Mrs Amanda M Holder, FNP-C 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 Ph: (901) 837-7979 |
Teresa M Wallace, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1880 Old Highway 51 S Ste C, Brighton, TN 38011 Phone: 901-837-7979 Fax: 901-837-7999 |
Mrs. Erica Gray, COO Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8440 Highway 51 S Ste B, Brighton, TN 38011 Phone: 901-486-0777 Fax: 662-673-3452 |
Destiny Lashay Woodard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10070 Mcquiston Rd, Brighton, TN 38011 Phone: 870-225-9489 |
Anna Mckenzie Howard, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1880 Old Highway 51 S Ste C, Brighton, TN 38011 Phone: 901-837-7979 Fax: 901-837-7999 |
Ashley L Jenkins, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8440 Highway 51 S Ste B, Brighton, TN 38011 Phone: 901-441-6448 Fax: 901-432-6058 |
Jamie Lynn Shoemaker, ACNP-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5361 Munford Giltedge Rd, Brighton, TN 38011 Phone: 901-304-3873 |