| Edward D White Jr, NP | |
|
710 Cornersville Rd, Lewisburg, TN 37091 | |
| (931) 994-5717 | |
| (931) 246-4233 |
| Full Name | Edward D White Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 710 Cornersville Rd, Lewisburg, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760448500 | NPI | - | NPPES |
| TN 4128362 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6822 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | APN0000006822 (Tennessee) | Primary |
| Entity Name | Commonwealth Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward D White Jr, NP 710 Cornersville Rd, Lewisburg, TN 37091 Ph: (931) 994-5717 | Edward D White Jr, NP 710 Cornersville Rd, Lewisburg, TN 37091 Ph: (931) 994-5717 |
Mrs. Shonda Elaine Tormohlen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 2nd Ave South, Lewisburg, TN 37091 Phone: 931-422-5029 Fax: 931-422-5229 | |
Miss Centeria Green Woolfolk, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 529 W Commerce St, Lewisburg, TN 37091 Phone: 931-270-9729 Fax: 931-270-9926 | |
Ms. Lou Anne Pritchard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 E Commerce St, Lewisburg, TN 37091 Phone: 615-790-0567 Fax: 615-595-8030 | |
Nicole Megan Grinnell, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1261 Old Highway 99, Lewisburg, TN 37091 Phone: 615-934-0485 | |
Mrs. Pamela D White, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Cornersville Rd, Lewisburg, TN 37091 Phone: 931-994-5717 Fax: 931-246-4233 | |
Mrs. Jennifer C Laws, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 335 1st Ave N, Lewisburg, TN 37091 Phone: 931-270-0050 Fax: 931-388-9540 | |
Andrea L Morton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 529 W Commerce St, Lewisburg, TN 37091 Phone: 931-270-9729 Fax: 931-270-9926 |