| Kisha L Knight, FNP-BC | |
|
404 Lillie Burney St, Hattiesburg, MS 39401-5505 | |
| (601) 450-6500 | |
| (601) 450-6503 |
| Full Name | Kisha L Knight |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 404 Lillie Burney St, Hattiesburg, 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 |
|---|---|---|---|
| 1023319936 | NPI | - | NPPES |
| 12181296 | Other | MS | CAQH ID NUMBER |
| 9900628 | Other | MS | AETNA |
| 05401590 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R863895 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Kisha L Knight, FNP-BC Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-3700 | Kisha L Knight, FNP-BC 404 Lillie Burney St, Hattiesburg, MS 39401-5505 Ph: (601) 450-6500 |
Mrs. Merrick Greene Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 Phone: 601-554-7400 | |
Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321 | |
Sarah Alyssa Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500 | |
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212 |