| Kimberly Crew Dunn, FNP-BC | |
|
6236 Freedom Cir, Grovetown, GA 30813-1212 | |
| (706) 401-9115 | |
| Not Available |
| Full Name | Kimberly Crew Dunn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6236 Freedom Cir, Grovetown, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194466623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN236216 (Georgia) | Primary |
| Entity Name | Pruitthealth Physicians Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Crew Dunn, FNP-BC 6236 Freedom Cir, Grovetown, GA 30813-1212 Ph: (706) 401-9115 | Kimberly Crew Dunn, FNP-BC 6236 Freedom Cir, Grovetown, GA 30813-1212 Ph: (706) 401-9115 |
Ms. Shnita Gregory Wiley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 714 Porter Ln, Grovetown, GA 30813 Phone: 706-399-9624 | |
Nataly Agabin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-922-1600 | |
Hannah Funmilayo Lawal Adeniji, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 479 Sebastian Dr, Grovetown, GA 30813 Phone: 705-373-0094 | |
Ashley Turman Sabb, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1424 Calumet Dr, Grovetown, GA 30813 Phone: 706-699-1533 | |
Amber Jillian Mccall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1433 Sawmill Trl, Grovetown, GA 30813 Phone: 706-550-2144 | |
Desiree Mock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 443 Carole Dr, Grovetown, GA 30813 Phone: 706-541-1131 |