| Jennifer Lee Dawson, NURSE PRACTITIONER | |
|
1413 W Quitman St, Iuka, MS 38852-1130 | |
| (662) 424-9550 | |
| (662) 424-9558 |
| Full Name | Jennifer Lee Dawson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1413 W Quitman St, Iuka, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710959283 | NPI | - | NPPES |
| 07950316 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R860187 (Mississippi) | Primary |
| Entity Name | Avalon Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710216346 PECOS PAC ID: 0345377065 Enrollment ID: O20100428000462 |
| Entity Name | Tenn-tom Med Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174294797 PECOS PAC ID: 8729476114 Enrollment ID: O20211104001968 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lee Dawson, NURSE PRACTITIONER 1413 W Quitman St, Iuka, MS 38852-1130 Ph: (662) 424-9550 | Jennifer Lee Dawson, NURSE PRACTITIONER 1413 W Quitman St, Iuka, MS 38852-1130 Ph: (662) 424-9550 |
Elizabeth Senn Dawson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1507 W Quitman St, Iuka, MS 38852 Phone: 662-423-1000 | |
Vickey M Hall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1771 Curtis Dr, Iuka, MS 38852 Phone: 662-423-6016 | |
Andrew Blake Mccaulley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 W Quitman St, Iuka, MS 38852 Phone: 662-423-1000 | |
Sara Cooley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1507 W Quitman St, Iuka, MS 38852 Phone: 662-423-1000 Fax: 662-423-1316 | |
Hilary Ashton Glover, CRNP, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1507 W Quitman St, Iuka, MS 38852 Phone: 662-423-1000 | |
Ms. Theresa M Massey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 W Quitman St, Iuka, MS 38852 Phone: 662-424-9550 Fax: 662-424-9558 | |
Megean Elaine Remedios, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4 County Road 438, Iuka, MS 38852 Phone: 601-433-9790 |