| Kathy Diane Butler, NURSE PRACTITIONER | |
|
7 Laplace Dr, Jackson, TN 38305-3514 | |
| (731) 664-7949 | |
| Not Available |
| Full Name | Kathy Diane Butler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7 Laplace Dr, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376710624 | NPI | - | NPPES |
| 3345749 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 42136 (Tennessee) | Primary |
| Entity Name | Anew Family Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386260792 PECOS PAC ID: 7012334873 Enrollment ID: O20200924003093 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Diane Butler, NURSE PRACTITIONER 111 Front St, Henderson, TN 38340-2313 Ph: (731) 989-2829 | Kathy Diane Butler, NURSE PRACTITIONER 7 Laplace Dr, Jackson, TN 38305-3514 Ph: (731) 664-7949 |
Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 | |
Amy K Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380 | |
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035 | |
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301 | |
Kirsten Siler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310 | |
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233 | |
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483 |