| Kimberly Nicole Cooper, FNP-BC | |
|
140 Macon Way, Hartsville, TN 37074-2080 | |
| (615) 808-0400 | |
| Not Available |
| Full Name | Kimberly Nicole Cooper |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 140 Macon Way, Hartsville, Tennessee |
| 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 |
|---|---|---|---|
| 1710671581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 34033 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Wound Care Tennessee Pllc | 8527394477 | 19 |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Integrated Wound Care Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215593991 PECOS PAC ID: 8527394477 Enrollment ID: O20190730002619 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Nicole Cooper, FNP-BC 926 Nashs Nook, Columbia, TN 38401-0004 Ph: (931) 698-6315 | Kimberly Nicole Cooper, FNP-BC 140 Macon Way, Hartsville, TN 37074-2080 Ph: (615) 808-0400 |
James D Carey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Broadway, Hartsville, TN 37074 Phone: 615-374-2101 Fax: 615-374-2609 | |
Joshua Vantrease, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Church St, Hartsville, TN 37074 Phone: 615-374-2221 | |
Mrs. Nelly O Wolugboms, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Damascus St, Hartsville, TN 37074 Phone: 615-227-3000 Fax: 615-515-5773 | |
Carrie Beth Cropper, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Macon Way, Hartsville, TN 37074 Phone: 615-808-0400 | |
Mrs. Amanda S Livingston, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Mcmurry Blvd E, Hartsville, TN 37074 Phone: 615-680-3331 Fax: 615-680-3332 | |
Shannon Michelle Foreman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 Belcher Ln, Hartsville, TN 37074 Phone: 317-607-4929 | |
Miss Kai-l Cobb, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Macon Way, Hartsville, TN 37074 Phone: 615-808-0511 |