| Mrs Kimerly A Neal, FNP | |
|
401 Sewell Dr, Sparta, TN 38583-1223 | |
| (931) 738-4395 | |
| (931) 738-4330 |
| Full Name | Mrs Kimerly A Neal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 401 Sewell Dr, Sparta, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689668105 | NPI | - | NPPES |
| 4137186 | Other | TN | BC/BS TN - MCMINNVILLE |
| 3905395 | Medicaid | TN | |
| 4139731 | Other | TN | BC/BS TN - CROSSVILLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | APN0000005782 (Tennessee) | Primary |
| Entity Name | Saint Thomas Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimerly A Neal, FNP 300 20th Ave N Ste 403, Nashville, TN 37203-5180 Ph: (615) 284-4088 | Mrs Kimerly A Neal, FNP 401 Sewell Dr, Sparta, TN 38583-1223 Ph: (931) 738-4395 |
Lyndsay Herron, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Churchill Dr, Sparta, TN 38583 Phone: 931-485-5995 | |
Jeanne Kay Thompson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Howell St, Sparta, TN 38583 Phone: 931-739-0048 | |
Ms. Laura Allese Snow, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Sam Walton Dr Ste 600, Sparta, TN 38583 Phone: 931-739-4000 | |
Anna V Benningfield, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013 | |
James Clark Childress, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 457 Vista Dr, Sparta, TN 38583 Phone: 931-738-3383 | |
Kelly Lyons, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013 | |
Nikki Realin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Walker St, Sparta, TN 38583 Phone: 931-836-2201 |