| Lekenya Miriam Nuttall, FNP-C | |
| 
					415 Us Highway 49 N, Tutwiler, MS 38963-5091  | |
| (662) 345-6567 | |
| Not Available | 
| Full Name | Lekenya Miriam Nuttall | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 415 Us Highway 49 N, Tutwiler, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710536636 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903390 (Mississippi) | Primary | 
| Entity Name | Community Care Health Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lekenya Miriam Nuttall, FNP-C Po Box 46, Ruleville, MS 38771-0046 Ph: (662) 402-2351  | Lekenya Miriam Nuttall, FNP-C 415 Us Highway 49 N, Tutwiler, MS 38963-5091 Ph: (662) 345-6567  | 
Mrs. Maria Luisa Ozua, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Alma St, Tutwiler, MS 38963 Phone: 662-345-8334  | |
Brittney Walker, RN, BNN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2434 Dog Walk Rd, Tutwiler, MS 38963 Phone: 901-652-6711  | |
Sabrina Gail Easter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Alma St, Tutwiler, MS 38963 Phone: 662-345-8334  | |
Pattye Dorris, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 Us Highway 49 N, Tutwiler, MS 38963 Phone: 662-645-6567  | |
Eileen Breen, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Alma St, Tutwiler Clinic, Tutwiler, MS 38913 Phone: 662-345-8331 Fax: 662-345-8336  |