| Mrs Suzette Carroll Stanley, RN APN FNP-BC | |
|
202 Tucker Ave, Ripley, TN 38063-1631 | |
| (731) 635-4741 | |
| Not Available |
| Full Name | Mrs Suzette Carroll Stanley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 202 Tucker Ave, Ripley, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497999155 | NPI | - | NPPES |
| 1526784 | Medicaid | TN | |
| 4319063 | Other | TN | BLUE CROSS BLUE SHIELD |
| 103I501930 | Other | TN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000013889 (Tennessee) | Primary |
| Entity Name | Bemis Medical Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437297744 PECOS PAC ID: 9133220981 Enrollment ID: O20080326000537 |
| Entity Name | Crossroads Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672 |
| Entity Name | Allcare Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881909877 PECOS PAC ID: 9638363336 Enrollment ID: O20101130000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Suzette Carroll Stanley, RN APN FNP-BC 202 Tucker Ave, Ripley, TN 38063-1631 Ph: (731) 635-4741 | Mrs Suzette Carroll Stanley, RN APN FNP-BC 202 Tucker Ave, Ripley, TN 38063-1631 Ph: (731) 635-4741 |
Sara Jane Via, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79 Highway 51 S, Ripley, TN 38063 Phone: 731-635-8189 Fax: 731-635-8121 | |
Caitlin Wamble, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 U.s. 51, Ripley, TN 38063 Phone: 731-935-8189 | |
Racheal Ann Lumley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 York Cmns, Ripley, TN 38063 Phone: 731-413-6191 | |
Mrs. Kristen Beth Beasley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 79 Highway 51 S, Ripley, TN 38063 Phone: 731-635-8189 Fax: 731-635-8126 | |
Virginia C Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 Highway 51 S, Ripley, TN 38063 Phone: 731-635-8189 Fax: 731-635-8126 | |
Mrs. Kimberly Brasfield Byrd, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 868 Highway 51 S, Ripley, TN 38063 Phone: 731-221-1637 Fax: 731-221-8156 |