| Mrs Diane Campbell Carlisle, RNC | |
|
1633 Hospital St, Greenville, MS 38703-3222 | |
| (662) 332-8177 | |
| (662) 378-8853 |
| Full Name | Mrs Diane Campbell Carlisle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 1633 Hospital St, Greenville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184786717 | NPI | - | NPPES |
| 00123989 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | R588911 (Mississippi) | Primary |
| Entity Name | Ms State Dept Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diane Campbell Carlisle, RNC 476 Goldfinch Dr, Greenville, MS 38701-8102 Ph: (662) 335-1728 | Mrs Diane Campbell Carlisle, RNC 1633 Hospital St, Greenville, MS 38703-3222 Ph: (662) 332-8177 |
Mrs. Chasity Ann Sheppeard, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Highway 1 S Ste A, Greenville, MS 38701 Phone: 623-351-1103 Fax: 662-335-8746 | |
Kristen Cassidy Roberts, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-355-4105 | |
James A Ray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 | |
Ms. Marilyn D Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 129 E Starling St Ste A, Greenville, MS 38701 Phone: 662-378-8868 Fax: 662-378-8462 | |
Mrs. Tammy White Burton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1462 Highway 1 S, Greenville, MS 38701 Phone: 662-702-5121 | |
Barbara P Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-344-9100 Fax: 662-344-9120 | |
Marshalvia Bryant, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1221 E Union St, Greenville, MS 38703 Phone: 731-394-1145 |