Mrs Jana M Stovall, NP | |
491 Majors Blvd, Lynchburg, TN 37352-8344 | |
(931) 759-4727 | |
(931) 759-4729 |
Full Name | Mrs Jana M Stovall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 491 Majors Blvd, Lynchburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811317068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 18685 (Tennessee) | Primary |
363L00000X | Nurse Practitioner | 18685 (Tennessee) | Secondary |
Entity Name | Proxima Centauri, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982972857 PECOS PAC ID: 9436326667 Enrollment ID: O20120111000573 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jana M Stovall, NP 491 Majors Blvd, Lynchburg, TN 37352-8344 Ph: (931) 759-4727 | Mrs Jana M Stovall, NP 491 Majors Blvd, Lynchburg, TN 37352-8344 Ph: (931) 759-4727 |
Deadra Renea Tucker, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 Majors Blvd, Lynchburg, TN 37352 Phone: 931-759-4727 Fax: 931-759-4729 | |
Conan M Carter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Magnolia Dr, Lynchburg, TN 37352 Phone: 931-759-5044 Fax: 931-759-5042 | |
Kenneth Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 445 Crest Dr, Lynchburg, TN 37352 Phone: 615-305-7776 | |
Melissa Smedley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 491 Majors Blvd, Lynchburg, TN 37352 Phone: 931-967-1333 Fax: 931-967-1888 |