| Mrs Carley Walker Herndon, FNP | |
|
11145 Ms-6, Thaxton, MS 38871 | |
| (662) 489-8500 | |
| (662) 489-8600 |
| Full Name | Mrs Carley Walker Herndon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 11145 Ms-6, Thaxton, Mississippi |
| 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 |
|---|---|---|---|
| 1760035695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903408 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| Tishomingo Health Services Inc | Iuka, MS | Hospital |
| North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Professional Assoc | 9335166834 | 14 |
| Entity Name | Urology Professional Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886805 PECOS PAC ID: 9335166834 Enrollment ID: O20060906000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carley Walker Herndon, FNP 499 Gloster Creek Vlg Ste A1, Tupelo, MS 38801-4749 Ph: (662) 438-0700 | Mrs Carley Walker Herndon, FNP 11145 Ms-6, Thaxton, MS 38871 Ph: (662) 489-8500 |
Cassie Bradley Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 | |
Caitlin Maree Defazio Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 | |
Pamela Dianne Clegg-alderman, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 Fax: 662-489-8600 | |
Kacie Cameron Hollimon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11145 Highway 6 W, Thaxton, MS 38871 Phone: 662-489-8500 |