| Mrs Deborah Kellide Conseen-bradley, FNP, GNP | |
|
777 Casino Dr, Cherokee, NC 28719-9761 | |
| (828) 497-8642 | |
| Not Available |
| Full Name | Mrs Deborah Kellide Conseen-bradley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 777 Casino Dr, Cherokee, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598852196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN10880 (Tennessee) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | APN10880 (Tennessee) | Secondary |
| Entity Name | Jackson Medical Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669022570 PECOS PAC ID: 4587095849 Enrollment ID: O20200520003611 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Deborah Kellide Conseen-bradley, FNP, GNP 777 Casino Drive, Cherokee, NC 28719 Ph: (828) 497-8642 | Mrs Deborah Kellide Conseen-bradley, FNP, GNP 777 Casino Dr, Cherokee, NC 28719-9761 Ph: (828) 497-8642 |
Emily Caroline Wegenka, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Road, Cherokee, NC 28719 Phone: 828-497-9163 | |
Elizabeth Coleman Mcdonald, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 Phone: 828-497-9163 Fax: 828-497-1723 | |
Danielle Rae Koman, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Casino Dr, Cherokee, NC 28719 Phone: 828-497-8642 Fax: 828-497-8832 | |
Tracy Lea Wolfe Birchfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 Phone: 828-497-9163 Fax: 828-497-1723 | |
Mrs. Lisa A Denzer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 Phone: 828-497-9163 Fax: 828-497-1723 | |
Ms. Mary Lynn Scarbrough, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Road, Cherokee, NC 28719 Phone: 828-497-9163 Fax: 828-497-1723 |