| Mrs Heather Hildebrant, PMHNP | |
|
5600 Goodman Rd, Olive Branch, MS 38654-7002 | |
| (662) 890-7010 | |
| (662) 890-7044 |
| Full Name | Mrs Heather Hildebrant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 5600 Goodman Rd, Olive Branch, 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 |
|---|---|---|---|
| 1477373512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906977 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pure Light Psychiatry Llc | 4789019365 | 2 |
| Entity Name | Pure Light Psychiatry LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932742988 PECOS PAC ID: 4789019365 Enrollment ID: O20200109001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Hildebrant, PMHNP 5600 Goodman Rd Ste B, Olive Branch, MS 38654-7002 Ph: (662) 890-7010 | Mrs Heather Hildebrant, PMHNP 5600 Goodman Rd, Olive Branch, MS 38654-7002 Ph: (662) 890-7010 |
Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006 |
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806 |
Mrs. Misty Moore Ivy, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7203 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-2322 |
Wanda Brown, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554 |
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 |
Queen Mcghee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111 |
Gloria Mcgaughy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lanere Dr, Olive Branch, MS 38654 Phone: 501-772-5424 |