| Jennie Katelyn Nolan, PMHNP | |
| 222 W Tennessee Ave, Pineville, KY 40977-1737 | |
| (606) 654-6210 | |
| Not Available | 
| Full Name | Jennie Katelyn Nolan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 222 W Tennessee Ave, Pineville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659054534 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4007386 (Kentucky) | Primary | 
| Entity Name | Southeast Family Practice Psc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033600416 PECOS PAC ID: 0941550149 Enrollment ID: O20180910002071 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennie Katelyn Nolan, PMHNP 222 W Tennessee Ave, Pineville, KY 40977-1737 Ph: (606) 654-6210 | Jennie Katelyn Nolan, PMHNP 222 W Tennessee Ave, Pineville, KY 40977-1737 Ph: (606) 654-6210 | 
| Amanda Louanne Mills Gann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-654-2412 Fax: 606-654-2519 | |
| Mr. Trampas S Nolan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-654-6210 Fax: 606-654-6220 | |
| Grace Runions, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-4299 Fax: 606-337-1128 | |
| Judy Lefevers,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 310 S Cherry St, Pineville, KY 40977 Phone: 606-337-7046 Fax: 606-337-8321 | |
| Jessica L Mills, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-7779 Fax: 606-337-5437 | |
| Whitney Jeree Gann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |
| Tiffeny Jean Treece, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Mountain View Cmns, Pineville, KY 40977 Phone: 606-337-8887 Fax: 606-337-8839 |