| Eric Tanner Long, FNP | |
|
104 Burney Dr, Flowood, MS 39232-6621 | |
| (601) 987-8200 | |
| (601) 987-8211 |
| Full Name | Eric Tanner Long |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 104 Burney Dr, Flowood, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932676913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902946 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kdmc Physician Clinics Llc | 7012154495 | 28 |
| Entity Name | Capital Orthopaedic Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687881 PECOS PAC ID: 0941215255 Enrollment ID: O20060208000127 |
| Entity Name | Kdmc Physician Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Tanner Long, FNP Po Box 30594, Charlotte, NC 28230-0594 Ph: (601) 987-8200 | Eric Tanner Long, FNP 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200 |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-932-4391 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 |