| Donica Long, FNP | |
|
400 Northwest Plz, Senatobia, MS 38668-1740 | |
| (662) 301-8330 | |
| (662) 301-8374 |
| Full Name | Donica Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 400 Northwest Plz, Senatobia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710498746 | NPI | - | NPPES |
| PENDING | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902328 (Mississippi) | Primary |
| Entity Name | Clinic 221 Family Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073089843 PECOS PAC ID: 4880938992 Enrollment ID: O20181130000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Donica Long, FNP 986 Antioch Rd, Coldwater, MS 38618-8165 Ph: (662) 209-2008 | Donica Long, FNP 400 Northwest Plz, Senatobia, MS 38668-1740 Ph: (662) 301-8330 |
Shara Smith Bledsoe, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2778 Highway 51 S, Senatobia, MS 38668 Phone: 662-560-5966 Fax: 662-560-5969 | |
Showanda Mckay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 E Main Street Plz, Senatobia, MS 38668 Phone: 662-562-8278 Fax: 662-562-8279 | |
Marquita Sledge, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 565 N Robinson St, Senatobia, MS 38668 Phone: 662-612-6089 Fax: 662-612-6313 | |
Beverly Briscoe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Getwell Dr, Ste B, Senatobia, MS 38668 Phone: 662-301-1128 Fax: 662-301-4430 | |
Patricia Blair, FPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Preston Mckay Dr, Senatobia, MS 38668 Phone: 662-562-4428 | |
Dr. Lacie Mcabee, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 565 N Robinson St, Senatobia, MS 38668 Phone: 662-612-6089 Fax: 662-612-6313 | |
Melissa Parrish, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Court St Ste A, Senatobia, MS 38668 Phone: 662-301-8683 Fax: 662-301-8684 |