| Brittany L Cannon, APN | |
| 
					108 Griffith St, Sale Creek, TN 37373-9715  | |
| (423) 332-1813 | |
| (423) 648-7542 | 
| Full Name | Brittany L Cannon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 108 Griffith St, Sale Creek, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003285305 | NPI | - | NPPES | 
| 20250 | Other | TN | APN LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 20250 (Tennessee) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 20250 (Tennessee) | Primary | 
| Entity Name | Diagnostic Radiology Consultants Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427071430 PECOS PAC ID: 9234123548 Enrollment ID: O20040713000985  | 
| Entity Name | Hamilton Physician Group, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235455569 PECOS PAC ID: 4789708553 Enrollment ID: O20111021000088  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brittany L Cannon, APN 108 Griffith St, Sale Creek, TN 37373-9715 Ph: (423) 498-3570  | Brittany L Cannon, APN 108 Griffith St, Sale Creek, TN 37373-9715 Ph: (423) 332-1813  | 
Mrs. Julie Elizabeth Carr, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike, Suite B, Sale Creek, TN 37373 Phone: 423-486-9455 Fax: 423-486-9458  | |
Tracey Jolene Jenkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike, Sale Creek, TN 37373 Phone: 423-486-9455  | |
Robert Lewis Kite, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike Ste B, Sale Creek, TN 37373 Phone: 423-486-9455 Fax: 423-486-9458  | |
Christa M Byerley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike Ste B, Sale Creek, TN 37373 Phone: 423-486-9455 Fax: 423-486-9458  | |
Susan R Gasque, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14821 Dayton Pike, Ste B, Sale Creek, TN 37373 Phone: 423-497-5070  | |
Mrs. Rachel Clark, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 929 Rocky Top Ln, Sale Creek, TN 37373 Phone: 423-596-9420  |