| Heather Breann Fenwick, | |
|
106 Winston Way, Campbellsville, KY 42718-4953 | |
| (270) 789-0034 | |
| Not Available |
| Full Name | Heather Breann Fenwick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 106 Winston Way, Campbellsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992518823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4034545 (Kentucky) | Primary |
| Entity Name | One Cross Community Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215404082 PECOS PAC ID: 6406182781 Enrollment ID: O20230113001349 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Breann Fenwick, 2422 Cissellville Rd, Springfield, KY 40069-8301 Ph: (859) 475-3999 | Heather Breann Fenwick, 106 Winston Way, Campbellsville, KY 42718-4953 Ph: (270) 789-0034 |
Ashlie Marie Judd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-789-6166 Fax: 270-789-6198 | |
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463 | |
Samantha Shipp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-789-5794 | |
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820 | |
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595 | |
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756 | |
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 |