| Lacey Osborne Harvey, | |
|
29710 Urgent Care Dr, Daphne, AL 36526-9595 | |
| (251) 626-3782 | |
| Not Available |
| Full Name | Lacey Osborne Harvey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 29710 Urgent Care Dr, Daphne, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861147464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-153896 (Alabama) | Primary |
| Entity Name | Imc-diagnostic And Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447201066 PECOS PAC ID: 2860399623 Enrollment ID: O20031218000577 |
| Entity Name | Eastern Shore Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376706275 PECOS PAC ID: 1951464775 Enrollment ID: O20090106000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Osborne Harvey, 41 E Chadwick Dr, Mobile, AL 36606-2473 Ph: (251) 401-8461 | Lacey Osborne Harvey, 29710 Urgent Care Dr, Daphne, AL 36526-9595 Ph: (251) 626-3782 |
Brittany Charlene Wickware, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28490 2nd St Ste B, Daphne, AL 36526 Phone: 251-308-9800 Fax: 877-413-5104 | |
Jada Turner Mims, AGACNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25825 Keldon Ct, Daphne, AL 36526 Phone: 251-463-1184 | |
Elizabeth Hill Luscher, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-625-2663 Fax: 251-625-3198 | |
Amanda Wiggins Grigg, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28490 2nd St Ste B, Daphne, AL 36526 Phone: 251-308-9800 Fax: 877-413-5104 | |
Prof. Julie Borom Wiggins, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26420 Kensington Pl Ste A, Daphne, AL 36526 Phone: 251-402-5591 | |
Mr. Daniel Phillip Gardner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8725 County Road 64, Daphne, AL 36526 Phone: 251-625-1370 Fax: 251-625-1380 | |
Kristen Boeckmann, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28119 N Main St Ste B, Daphne, AL 36526 Phone: 251-214-0040 |