Mrs Alisha Boutwell Tenhet, FNP-C | |
49 Turner St, Maben, MS 39750-9157 | |
(662) 263-5900 | |
(662) 263-4132 |
Full Name | Mrs Alisha Boutwell Tenhet |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 49 Turner St, Maben, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487900098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R872184 (Mississippi) | Primary |
Entity Name | North Mississippi Medical Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
Entity Name | Webster Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982719621 PECOS PAC ID: 6901892421 Enrollment ID: O20040421001047 |
Entity Name | Och Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225202666 PECOS PAC ID: 9739252396 Enrollment ID: O20080716000169 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alisha Boutwell Tenhet, FNP-C 49 Turner St, Maben, MS 39750-9157 Ph: (662) 263-5900 | Mrs Alisha Boutwell Tenhet, FNP-C 49 Turner St, Maben, MS 39750-9157 Ph: (662) 263-5900 |
Teres Chandler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 School Bus Dr, Maben, MS 39750 Phone: 662-295-7520 | |
Guadalupe Jisselle Rodriguez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Turner St, Maben, MS 39750 Phone: 662-263-5900 |