| Kimberly Jordan Tupper, | |
|
391 Southcrest Cir Ste 200, Southaven, MS 38671-6729 | |
| (901) 271-1000 | |
| (901) 922-6718 |
| Full Name | Kimberly Jordan Tupper |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 391 Southcrest Cir Ste 200, Southaven, 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 |
|---|---|---|---|
| 1437785482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00741 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Clinic Of North Ms Inc | 5294790861 | 12 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Jordan Tupper, 8060 Wolf River Blvd, Germantown, TN 38138-1727 Ph: (901) 271-1000 | Kimberly Jordan Tupper, 391 Southcrest Cir Ste 200, Southaven, MS 38671-6729 Ph: (901) 271-1000 |
Teona Wright, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-349-9116 | |
Mr. Aaron Tate Boyd, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Southcrest Cir Ste 201, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458 | |
Nikara Kilpatrick, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222 | |
Brooklyn Paige Snell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Daisy Auma Ogila, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5221 Getwell Road, Suite A, Southaven, MS 38671 Phone: 662-469-5758 | |
Lisa Deptula, PA, MD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-3607 | |
Sara Streete, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7585 Clarington Cv # 5656, Southaven, MS 38671 Phone: 662-349-0200 |