| Carley Fulgham, NP | |
| 
					5713 U.s. 45 Alternate South, West Point, MS 39773-0414  | |
| (662) 854-9012 | |
| Not Available | 
| Full Name | Carley Fulgham | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 5713 U.s. 45 Alternate South, West Point, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639916182 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 906766 (Mississippi) | Primary | 
| Entity Name | Dutch Medical Clinics, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064  | 
| Entity Name | Fast Pace Mississippi Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carley Fulgham, NP 1286 State Line Rd, Ethelsville, AL 35461-2939 Ph: (205) 399-8240  | Carley Fulgham, NP 5713 U.s. 45 Alternate South, West Point, MS 39773-0414 Ph: (662) 854-9012  | 
Charles H Emrick, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Medical Center Dr, West Point, MS 39773 Phone: 662-495-2300  | |
Aleshia N Rush, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 219 Wood St, West Point, MS 39773 Phone: 662-494-4066  | |
Mrs. Kayla Ann Jenkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7474 Highway 45 Alt N, West Point, MS 39773 Phone: 662-949-5863 Fax: 662-494-5287  | |
Megan Mcbrayer Pierce, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Medical Center Dr, West Point, MS 39773 Phone: 662-295-6342  | |
Pamela H. White, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 977 Emergency Dr, West Point, MS 39773 Phone: 662-494-5232  | |
Jennifer Rigdon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 735 Medical Center Dr, West Point, MS 39773 Phone: 662-492-2300  | |
Ann Fretz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 Emergency Dr, West Point, MS 39773 Phone: 662-494-1870 Fax: 662-494-0002  |