| Ms Miranda Shae Cody, PMHNP-BC | |
|
35 Willow Ln, Jasper, AL 35503-6122 | |
| (205) 717-6050 | |
| (205) 892-9272 |
| Full Name | Ms Miranda Shae Cody |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 35 Willow Ln, Jasper, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083233308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1-156251 (Alabama) | Primary |
| 163W00000X | Registered Nurse | 1-156251 (Alabama) | Secondary |
| Entity Name | Lifeworks Psychiatric Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497510028 PECOS PAC ID: 5092153312 Enrollment ID: O20240405001854 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Miranda Shae Cody, PMHNP-BC 35 Willow Ln, Jasper, AL 35503-6122 Ph: (205) 717-6050 | Ms Miranda Shae Cody, PMHNP-BC 35 Willow Ln, Jasper, AL 35503-6122 Ph: (205) 717-6050 |
Tiffany Tolliver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 508 Deer Ridge Run, Jasper, AL 35503 Phone: 606-302-1233 | |
Leanna Michelle Phillips, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Highway 78 E Ste 321, Jasper, AL 35501 Phone: 205-226-5900 | |
Larissa Robinson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 N Airport Rd, Jasper, AL 35504 Phone: 205-221-9351 Fax: 205-221-3700 | |
Charity Lomneck, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Center Dr, Jasper, AL 35501 Phone: 205-544-2243 Fax: 205-301-2414 | |
Mrs. Cassie Wells, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 N Airport Rd, Jasper, AL 35504 Phone: 205-221-9351 Fax: 205-221-4353 | |
Mrs. Angela Kuykendall, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Highway 78 W, Jasper, AL 35501 Phone: 205-387-2253 |