| Christy Renee Elliott, APRN | |
| 
					402 Cumberland Ave, Williamsburg, KY 40769-1238  | |
| (606) 549-2656 | |
| Not Available | 
| Full Name | Christy Renee Elliott | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 402 Cumberland Ave, Williamsburg, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275247306 | NPI | - | NPPES | 
| 4004534 | Other | KY | KY LICENSE | 
| 7100905220 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WM0705X | Registered Nurse - Medical-surgical | 1099206 (Kentucky) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 34175 (Kentucky) | Primary | 
| Entity Name | Dayspring Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013049469 PECOS PAC ID: 7214990746 Enrollment ID: O20041215000423  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christy Renee Elliott, APRN 107 S Main St, Jellico, TN 37762-2154 Ph: (423) 784-8492  | Christy Renee Elliott, APRN 402 Cumberland Ave, Williamsburg, KY 40769-1238 Ph: (606) 549-2656  | 
Mr. Allen Darrell Probus Jr., FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 896 S Highway 25w, Williamsburg, KY 40769 Phone: 606-376-9700  | |
Lisa Grubb, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2932 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-515-6051  | |
Mrs. Sheila Denise Lambdin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W Ste 100, Williamsburg, KY 40769 Phone: 606-549-2930 Fax: 606-549-3036  | |
Rebecca Banfield, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 896 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-515-6124  | |
Marcie Leigh Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 686 S Us-25w W, Williamsburg, KY 40769 Phone: 606-549-5052 Fax: 606-549-2718  | |
Keith David Mcdaniel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-386-4559  | |
Jennifer Marie Emery, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6178 College Station Dr, Williamsburg, KY 40769 Phone: 855-791-7199  |