| Ms Kim Willams Truesdale, CRNP | |
|
139 North Oliver St, Brooksville, MS 39739 | |
| (662) 738-4424 | |
| (662) 738-4615 |
| Full Name | Ms Kim Willams Truesdale |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 139 North Oliver St, Brooksville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609949692 | NPI | - | NPPES |
| 00113993 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R576972 (Mississippi) | Primary |
| Entity Name | Oktibbeha County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124144381 PECOS PAC ID: 4587653993 Enrollment ID: O20040511000423 |
| Entity Name | Rh Mississippi Hospitalist Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891541207 PECOS PAC ID: 0547791873 Enrollment ID: O20240927000057 |
| Entity Name | Rh Emergency Medicine Of Och Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093532889 PECOS PAC ID: 0941734990 Enrollment ID: O20241113001644 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kim Willams Truesdale, CRNP 6637 Greenfield Dr, West Point, MS 39773-6501 Ph: (662) 492-4307 | Ms Kim Willams Truesdale, CRNP 139 North Oliver St, Brooksville, MS 39739 Ph: (662) 738-4424 |
Karla Jernigan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Ms Highway 388, Brooksville, MS 39739 Phone: 662-738-5454 Fax: 662-738-5457 | |
Holly C Rigdon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Ms Hwy 388, Brooksville, MS 39739 Phone: 662-738-5454 Fax: 662-738-5457 |