| Donna Jane Waddell, NP | |
|
9785 Highway 79 S, Henry, TN 38231-3613 | |
| (731) 243-1450 | |
| (731) 243-1000 |
| Full Name | Donna Jane Waddell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 9785 Highway 79 S, Henry, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871733162 | NPI | - | NPPES |
| 3380640 | Other | TN | MEDICAID GROUP |
| 3380640 | Other | TN | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 13942 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 13942 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
| Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waddell Clinic Primary Care And Aesthetics Pllc | 2769835164 | 3 |
| Entity Name | Christian Family Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043252620 PECOS PAC ID: 7315903978 Enrollment ID: O20041206000331 |
| Entity Name | Waddell Clinic Primary Care & Aesthetics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851164560 PECOS PAC ID: 2769835164 Enrollment ID: O20240201003092 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Jane Waddell, NP 9785 Highway 79 S, Henry, TN 38231-3613 Ph: (731) 243-1450 | Donna Jane Waddell, NP 9785 Highway 79 S, Henry, TN 38231-3613 Ph: (731) 243-1450 |
Markie Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9785 Highway 79 S, Henry, TN 38231 Phone: 731-243-1450 |