| Diana Connelly, | |
|
1605 S Locust Ave Ste 200, Lawrenceburg, TN 38464-4053 | |
| (931) 762-4400 | |
| Not Available |
| Full Name | Diana Connelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1605 S Locust Ave Ste 200, Lawrenceburg, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841002847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 38063 (Tennessee) | Primary |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Entity Name | Amg-crockett, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326550732 PECOS PAC ID: 4789770199 Enrollment ID: O20071017000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Connelly, 1605 S Locust Ave Ste 200, Lawrenceburg, TN 38464-4053 Ph: (931) 762-4400 | Diana Connelly, 1605 S Locust Ave Ste 200, Lawrenceburg, TN 38464-4053 Ph: (931) 762-4400 |
Leah Stone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 726 N Locust Ave, 1st Fl, Ste D, Lawrenceburg, TN 38464 Phone: 931-766-7056 Fax: 931-766-7057 | |
Alison Denise Hagan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 N Locust Ave Ste B, Lawrenceburg, TN 38464 Phone: 931-762-9797 Fax: 931-762-9798 | |
Mrs. Shonda Danielle Morris, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325d Geri St, Lawrenceburg, TN 38464 Phone: 931-762-9797 | |
Mrs. Kellie Dobias Coffey, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Weakley Creek Rd, Lawrenceburg, TN 38464 Phone: 931-766-5001 Fax: 931-762-3800 | |
Samantha A Whitwell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-7232 | |
Sara Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 Geri St, Suite A, Lawrenceburg, TN 38464 Phone: 931-762-9797 | |
Ashlee Paige Bates, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 N Locust Ave, Lawrenceburg, TN 38464 Phone: 931-762-9797 Fax: 931-762-9798 |