| Lisa May Pullen, PHD, APRN, BC | |
|
119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | |
| (423) 282-1480 | |
| (423) 928-1353 |
| Full Name | Lisa May Pullen |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 44 Years |
| Location | 119 Boone Ridge Dr, Johnson City, 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 |
|---|---|---|---|
| 1871672717 | NPI | - | NPPES |
| 3631311 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN0000123743 (Tennessee) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | APN0000007907 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Down To Earth Services | 1557755584 | 7 |
| Mj Mental Health, Llc | 2163878513 | 9 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Down To Earth Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982239778 PECOS PAC ID: 1557755584 Enrollment ID: O20220308001134 |
| Entity Name | Mj Mental Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578348256 PECOS PAC ID: 2163878513 Enrollment ID: O20231023000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa May Pullen, PHD, APRN, BC 12301 Willow Ridge Way, Knoxville, TN 37934-4556 Ph: (865) 250-6461 | Lisa May Pullen, PHD, APRN, BC 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480 |
Stephen Lloyd Haile, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Lowell E Miller, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1203 Old Gray Station Rd, Johnson City, TN 37615 Phone: 423-207-1230 | |
Donna C. Fraysier, MSN, ACNS-BC, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 365 Stout Drive, Nicks Hall, Room 160, Johnson City, TN 37614 Phone: 423-439-4225 Fax: 423-439-4560 | |
Carol Jones, APN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6831 | |
Franchesca Maria Shoun, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 310 N State Of Franklin Rd, Suite 101, Johnson City, TN 37604 Phone: 423-929-7393 Fax: 423-929-0872 | |
Lisa D Blevins, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 403 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-7111 Fax: 423-431-7092 |