Mrs Lavern Banks Johnson, APN | |
3685 S Houston Levee Rd, Collierville, TN 38017-9009 | |
(901) 457-2933 | |
(901) 457-2934 |
Full Name | Mrs Lavern Banks Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3685 S Houston Levee Rd, Collierville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144546516 | NPI | - | NPPES |
6129052 | Other | TN | BLUE CROSS BLUE SHIELD |
20905 | Other | TN | TN LICENSE |
N1725089 | Other | TN | WELLCARE |
03472033 | Medicaid | MS | |
Q032334 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 20905 (Tennessee) | Primary |
Entity Name | Memphis Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144236902 PECOS PAC ID: 7315859972 Enrollment ID: O20031103000245 |
Entity Name | Christ Community Health Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982686614 PECOS PAC ID: 3870402084 Enrollment ID: O20040528000468 |
Entity Name | American Current Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194914085 PECOS PAC ID: 9739260019 Enrollment ID: O20080301000091 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lavern Banks Johnson, APN Po Box 932958, Cleveland, OH 44193-0028 Ph: () - | Mrs Lavern Banks Johnson, APN 3685 S Houston Levee Rd, Collierville, TN 38017-9009 Ph: (901) 457-2933 |
Amanda Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 W Poplar Ave, 101, Collierville, TN 38017 Phone: 901-854-5771 | |
Richard Albert Keenan Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 W Poplar Ave Ste 206, Collierville, TN 38017 Phone: 901-861-8484 Fax: 901-861-8489 | |
Brandalon Marie Fly, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 New Byhalia Rd, Collierville, TN 38017 Phone: 901-492-4920 | |
Allison Tolar Darnell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 W Poplar Ave Ste 7, Collierville, TN 38017 Phone: 901-446-0226 | |
Candace Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1204 W Poplar Ave, Suite 102, Collierville, TN 38017 Phone: 901-610-3135 | |
Heather Jones Boals, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 458 Old Oak Ln, Collierville, TN 38017 Phone: 901-275-0630 | |
Mrs. Susan D Earl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 890 W Poplar Ave Ste 6, Collierville, TN 38017 Phone: 901-221-8621 Fax: 901-221-8631 |