| Mrs Shemeka Chandrae Taylor, FNP-C | |
|
1669 Stateline Rd W Ste B, Southaven, MS 38671-1223 | |
| (662) 470-4710 | |
| (662) 367-8831 |
| Full Name | Mrs Shemeka Chandrae Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1669 Stateline Rd W Ste B, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427642057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 904461 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | 904461 (Mississippi) | Primary |
| Entity Name | Midsouth Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194894147 PECOS PAC ID: 3971579400 Enrollment ID: O20040907000889 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shemeka Chandrae Taylor, FNP-C 1669 Stateline Rd W Ste B, Southaven, MS 38671-1223 Ph: (662) 470-4710 | Mrs Shemeka Chandrae Taylor, FNP-C 1669 Stateline Rd W Ste B, Southaven, MS 38671-1223 Ph: (662) 470-4710 |
Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-503-7416 Fax: 662-349-9082 | |
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112 | |
Penny Marie Holley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457 | |
Christopher Gully, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458 | |
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100 | |
Misty Burton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659 | |
Mrs. Karen Kamillah Purnell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Chestnut Dr, Southaven, MS 38671 Phone: 662-897-8973 |