| Keisha L Oliphant, FNP | |
|
9421 Eastside Drive Ext, Newton, MS 39330-0000 | |
| (601) 683-2031 | |
| (601) 683-0264 |
| Full Name | Keisha L Oliphant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 9421 Eastside Drive Ext, Newton, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679710933 | NPI | - | NPPES |
| R861070 | Other | MS | MS BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R861070 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Foundation Hospital | Meridian, MS | Hospital |
| S E Lackey Memorial Hospital | Forest, MS | Hospital |
| Laird Hospital Inc | Union, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Healthcare Management Inc | 0840197232 | 27 |
| East Central Mississippi Health Care Inc | 0941103717 | 16 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Entity Name | East Central Mississippi Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387619 PECOS PAC ID: 0941103717 Enrollment ID: O20040129000363 |
| Entity Name | Holistic Health With Kelly Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245806041 PECOS PAC ID: 1850797846 Enrollment ID: O20210830002828 |
| Mailing Address | Practice Location Address |
|---|---|
| Keisha L Oliphant, FNP P O Box 299, 9421 Eastside Drive Ext, Newton, MS 39330-0000 Ph: (601) 683-2031 | Keisha L Oliphant, FNP 9421 Eastside Drive Ext, Newton, MS 39330-0000 Ph: (601) 683-2031 |
Ms. Vanessa Norman, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Northside Dr, Newton, MS 39345 Phone: 601-683-3117 | |
Rhonda P. Davis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 School Street Ext, Newton, MS 39345 Phone: 601-683-3327 Fax: 601-683-3329 | |
Ms. Cynthia Marguerite Schuetz Boyd Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9425 Eastside Dr. Ext Hwy 15 North, Newton, MS 39345 Phone: 601-635-3333 Fax: 601-693-3330 | |
Jason William Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330 | |
Madison Windham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330 | |
Abby Nicole Novak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Eastside Dr, Newton, MS 39345 Phone: 601-228-8985 | |
Meagan Nicole Mcmahan Chaney, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9421 Eastside Drive Ext, Newton, MS 39345 Phone: 601-683-2031 Fax: 601-849-1318 |