| Chandler Mims Dalton, | |
|
1205 Office Park Dr Ste A, Oxford, MS 38655-3546 | |
| (662) 638-3412 | |
| Not Available |
| Full Name | Chandler Mims Dalton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1205 Office Park Dr Ste A, Oxford, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750901328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 901117 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904927 (Mississippi) | Primary |
| Entity Name | Express Care Of Cleveland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780151381 PECOS PAC ID: 0547502387 Enrollment ID: O20190429000343 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Chandler Mims Dalton, 212 Olde Castle Loop, Oxford, MS 38655-6012 Ph: () - | Chandler Mims Dalton, 1205 Office Park Dr Ste A, Oxford, MS 38655-3546 Ph: (662) 638-3412 |
Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432 | |
Shavonne Bridgette Doyle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2908 S Lamar Blvd Ste 100, Oxford, MS 38655 Phone: 662-281-0112 | |
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891 | |
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285 | |
Casey Tramel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2706 W Oxford Loop Ste 105, Oxford, MS 38655 Phone: 662-550-4250 | |
Kimberly Anne Schweigart, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Sisk Ave, Oxford, MS 38655 Phone: 662-638-1002 | |
Olivia Babb Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2706 W Oxford Loop Ste 105, Oxford, MS 38655 Phone: 662-550-4250 Fax: 662-550-4612 |