Mrs Mallory Conway Tucker, RN, MSN, NP-C | |
101 Bethesda Dr, Greenville, NC 27834-7298 | |
(252) 758-4181 | |
Not Available |
Full Name | Mrs Mallory Conway Tucker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 101 Bethesda Dr, Greenville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376980482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F0513226 (North Carolina) | Primary |
Entity Name | Physicians East Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598761967 PECOS PAC ID: 1850284571 Enrollment ID: O20040205001222 |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mallory Conway Tucker, RN, MSN, NP-C 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 Ph: (252) 559-2200 | Mrs Mallory Conway Tucker, RN, MSN, NP-C 101 Bethesda Dr, Greenville, NC 27834-7298 Ph: (252) 758-4181 |
Staci G. Streeter-moye, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Paladin Dr, Greenville, NC 27834 Phone: 252-752-8880 Fax: 252-752-3084 | |
Jacqueline R Costello, DNP, RN, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Herbert Ct, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514 | |
Walter Roger Nelson, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-752-4848 Fax: 252-752-9607 | |
Ms. Marcy Sue Speight, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 622 S Memorial Dr, Greenville, NC 27858 Phone: 570-371-8303 | |
Ann R Chambers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-6958 | |
Felicia R. Richardson, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401 | |
Mrs. Elizabeth Hayes Santiago, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2102 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 |