| Marjorie Ellen Mitchell, | |
|
203 Vaughan Memorial Dr, Selma, AL 36701-6950 | |
| (334) 219-6711 | |
| Not Available |
| Full Name | Marjorie Ellen Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 203 Vaughan Memorial Dr, Selma, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326608183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-145-987 (Alabama) | Primary |
| Entity Name | Alabama Post-acute Medical Service 1 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073052403 PECOS PAC ID: 7416229406 Enrollment ID: O20170825002379 |
| Entity Name | NM Pacs 2 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20191109000048 |
| Entity Name | CS Pacs 3 Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240731003767 |
| Entity Name | Eterna Primary Care of Alabama LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982554978 PECOS PAC ID: 9133699432 Enrollment ID: O20260528000958 |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie Ellen Mitchell, 203 Vaughan Memorial Dr, Selma, AL 36701-6950 Ph: (334) 219-6711 | Marjorie Ellen Mitchell, 203 Vaughan Memorial Dr, Selma, AL 36701-6950 Ph: (334) 219-6711 |
Jewels M Knight, FNP-C, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 Fax: 334-526-3241 |
Kelly Butler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 |
Tacarla Shantese Pearson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1023 Medical Center Pkwy Ste 200, Selma, AL 36701 Phone: 334-875-4184 |
Somaly Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 |
Kandice Bryson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Al Highway 14 E, Selma, AL 36703 Phone: 334-526-3240 |
Terry Dunson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-418-6646 Fax: 334-418-6647 |
Felicia Renee Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Park Pl, Selma, AL 36701 Phone: 334-412-7594 |