| Mrs Kennedy Ellen Eidenire, PMHNP | |
|
365 S Hartmann Dr Ste 104, Lebanon, TN 37087-4788 | |
| (615) 470-8124 | |
| (615) 544-2528 |
| Full Name | Mrs Kennedy Ellen Eidenire |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 365 S Hartmann Dr Ste 104, Lebanon, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477354793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 38446 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Firefly Health, Pllc | 3971957572 | 3 |
| Entity Name | Firefly Health, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528749827 PECOS PAC ID: 3971957572 Enrollment ID: O20231002000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kennedy Ellen Eidenire, PMHNP 365 S Hartmann Dr Ste 104, Lebanon, TN 37087-4788 Ph: (615) 470-8124 | Mrs Kennedy Ellen Eidenire, PMHNP 365 S Hartmann Dr Ste 104, Lebanon, TN 37087-4788 Ph: (615) 470-8124 |
Ashley Anderson Mccormack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1670 W Main St Ste 140, Lebanon, TN 37087 Phone: 615-994-8201 |
Ali N Sorrell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1418 W Main St, Lebanon, TN 37087 Phone: 615-453-7720 |
Misty L. Dailey, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 927 East Baddour Parkway, Lebanon, TN 37087 Phone: 615-444-5325 Fax: 615-443-6402 |
Justin Groce, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Winwood Dr, Suite 105, Lebanon, TN 37087 Phone: 615-444-4126 Fax: 855-785-2890 |
Mrs. Brandi Lindsey, R. N., C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087 Phone: 615-449-5611 Fax: 615-444-7882 |
Ms. Kristy M Blaney, RN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way, Suite 250, Lebanon, TN 37090 Phone: 615-444-3307 |
Kathleen Elizabeth Miller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2605 Mann Rd, Lebanon, TN 37087 Phone: 615-598-5490 |