| Mrs Katherine Stilley, NP-C | |
|
9437 Us Highway 70 E, Mc Ewen, TN 37101-4705 | |
| (931) 582-8820 | |
| Not Available |
| Full Name | Mrs Katherine Stilley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9437 Us Highway 70 E, Mc Ewen, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104169788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 17528 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 17528 (Tennessee) | Primary |
| Entity Name | The Little Clinic Of Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487848800 PECOS PAC ID: 4688762800 Enrollment ID: O20080326000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Stilley, NP-C 9437 Us Highway 70 E, Mc Ewen, TN 37101-4705 Ph: (931) 582-8820 | Mrs Katherine Stilley, NP-C 9437 Us Highway 70 E, Mc Ewen, TN 37101-4705 Ph: (931) 582-8820 |
Juelda R Coleman, APN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9437 Highway 70 East, Mc Ewen, TN 37101 Phone: 931-582-8820 Fax: 931-582-8970 | |
Ms. Christy Michelle Dougherty, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10161 Us Highway 70 E, Mc Ewen, TN 37101 Phone: 931-582-3170 Fax: 931-296-7317 |