| Mrs Kimberly Owen Loe, NURSE PRACTITIONER | |
|
4290 Lakeland Dr, Suite A, Flowood, MS 39232-9571 | |
| (601) 932-0083 | |
| (601) 932-8124 |
| Full Name | Mrs Kimberly Owen Loe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 4290 Lakeland Dr, Flowood, 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 |
|---|---|---|---|
| 1881928315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R862120 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health-home Health | Vicksburg, MS | Home health agency |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Urology Clinic Pllc | 6406830942 | 12 |
| Entity Name | Mississippi Urology Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902837313 PECOS PAC ID: 6406830942 Enrollment ID: O20040614001229 |
| Entity Name | St. Dominic Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Owen Loe, NURSE PRACTITIONER Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4880 | Mrs Kimberly Owen Loe, NURSE PRACTITIONER 4290 Lakeland Dr, Suite A, Flowood, MS 39232-9571 Ph: (601) 932-0083 |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-200-4698 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 |