| Mrs Kylie Danielle Blackett, NP | |
|
3500 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122-3059 | |
| (615) 758-5672 | |
| Not Available |
| Full Name | Mrs Kylie Danielle Blackett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3500 N Mount Juliet Rd Ste 201, Mount Juliet, Tennessee |
| 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 |
|---|---|---|---|
| 1508505983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 191152 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 31898 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crossroads Medical Group, Pllc | 3779544895 | 49 |
| Entity Name | West Wilson Family Practice Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598779837 PECOS PAC ID: 1355319435 Enrollment ID: O20040917000558 |
| Entity Name | Crossroads Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073539607 PECOS PAC ID: 3779544895 Enrollment ID: O20071203000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kylie Danielle Blackett, NP 3500 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122-3059 Ph: (615) 975-9543 | Mrs Kylie Danielle Blackett, NP 3500 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122-3059 Ph: (615) 758-5672 |
Mrs. Jaimie Pelot, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5003 Crossings Cir Ste 200, Mount Juliet, TN 37122 Phone: 615-872-9966 Fax: 615-564-9300 | |
Erin Frances Young, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2133 Kirkwood Dr, Mount Juliet, TN 37122 Phone: 161-581-2031 | |
Cheryl Mann, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2620 N Mount Juliet Rd, Mount Juliet, TN 37122 Phone: 615-773-5785 | |
Alexander Sinclair Farley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 629 Sire Ave, Mount Juliet, TN 37122 Phone: 615-587-3314 | |
Brittany Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Crossings Cir Ste 260, Mount Juliet, TN 37122 Phone: 615-533-3404 | |
Nicole Stroop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3578 N Mount Juliet Rd, Mount Juliet, TN 37122 Phone: 615-288-4777 | |
Trevor Ericson Smith, FNP-C,HB-BC,DC FASA. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 218 Nonaville Rd, Mount Juliet, TN 37122 Phone: 615-601-6087 |