| Mrs Victoria Brooke Ivy, FNP-C | |
| 
					1894 Cedar St, Mc Kenzie, TN 38201-2206  | |
| (731) 207-6496 | |
| Not Available | 
| Full Name | Mrs Victoria Brooke Ivy | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1894 Cedar St, Mc Kenzie, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235918947 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 34621 (Tennessee) | Primary | 
| Entity Name | Mckenzie Medical Center Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083  | 
| Entity Name | Fast Pace Medical Clinic Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Victoria Brooke Ivy, FNP-C 273 Mebanewood Dr, Huntingdon, TN 38344-2910 Ph: (731) 415-0364  | Mrs Victoria Brooke Ivy, FNP-C 1894 Cedar St, Mc Kenzie, TN 38201-2206 Ph: (731) 207-6496  | 
Lori B Holladay, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459  | |
Beth Mitchell Graves, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459  | |
Gyu Chang Jo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459  | |
Meredith Ann Brown, NP-C, CHPN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459  | |
Leslie Leeann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Oak Manor Rd, Mc Kenzie, TN 38201 Phone: 731-394-1145  | |
Briana Page Chandler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907  |