| Mrs Miranda Hickle, FNP | |
|
1059 E Highway 11 E, Jefferson City, TN 37760-4910 | |
| (865) 375-6005 | |
| (865) 471-0244 |
| Full Name | Mrs Miranda Hickle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1059 E Highway 11 E, Jefferson City, 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 |
|---|---|---|---|
| 1528317054 | NPI | - | NPPES |
| 1530430 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 16752 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthstar Physicians, P.c. | 5890690978 | 86 |
| Entity Name | Healthstar Physicians, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184610248 PECOS PAC ID: 5890690978 Enrollment ID: O20031203000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Miranda Hickle, FNP 1059 E Highway 11 E, Jefferson City, TN 37760-4910 Ph: (865) 375-6005 | Mrs Miranda Hickle, FNP 1059 E Highway 11 E, Jefferson City, TN 37760-4910 Ph: (865) 375-6005 |
Mrs. Sally Ruth Hensley, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-471-5110 Fax: 865-471-5105 | |
Barbara Jean Smith, MSN, RN, FNP-BC,CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1004 N Highway 92, Suite C, Jefferson City, TN 37760 Phone: 865-475-6100 Fax: 865-475-6106 | |
Lisa Carol Bryant, MSN,FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760 Phone: 865-475-9062 | |
Kiara Regina Hackler, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760 Phone: 865-475-9062 Fax: 865-475-9063 | |
Mr. Neil Edward Pressley, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-9969 Fax: 865-475-9901 | |
Dr. Betty Jo Ellington, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Russell Ave, Jefferson City, TN 37760 Phone: 865-471-5525 | |
Katherine Besola, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 N Highway 92 Ste B, Jefferson City, TN 37760 Phone: 865-647-3400 Fax: 865-647-3401 |