| Mrs Kimberly M Stanley, FNP | |
|
285 Ivie Ln, Mantachie, MS 38855-9764 | |
| (662) 282-4197 | |
| (662) 282-5121 |
| Full Name | Mrs Kimberly M Stanley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 285 Ivie Ln, Mantachie, 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 |
|---|---|---|---|
| 1770824955 | NPI | - | NPPES |
| 05838803 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R858096 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hometown Care Of Mantachie, Llc | 4789917808 | 6 |
| Entity Name | Community Family Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891907093 PECOS PAC ID: 3476578196 Enrollment ID: O20051012000340 |
| Entity Name | Hometown Care Of Mantachie, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164987426 PECOS PAC ID: 4789917808 Enrollment ID: O20190605000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly M Stanley, FNP 280 Ferguson Lake Rd, Marietta, MS 38856-6068 Ph: (662) 401-3066 | Mrs Kimberly M Stanley, FNP 285 Ivie Ln, Mantachie, MS 38855-9764 Ph: (662) 282-4197 |
Ms. Bonnie Renee' Jones, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121 | |
Madison Leigh Carrell, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5681 Ms-363, Mantachie, MS 38855 Phone: 662-282-4226 | |
Austin Harbor Black, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 | |
Susan Long Newell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555 | |
Nativel J Collins, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555 Fax: 877-254-0552 | |
Crystal Jo Nichols, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121 | |
Cynthia Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946 |