| Ms Ollie Herron, FNP-C, PMHNP-BC | |
| 
					623 Moss Ln, Bolivar, TN 38008-1074  | |
| (731) 228-9068 | |
| (901) 425-9773 | 
| Full Name | Ms Ollie Herron | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 623 Moss Ln, Bolivar, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437499696 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17067 (Tennessee) | Primary | 
| Entity Name | Brown Behavioral Health Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699416636 PECOS PAC ID: 2668850710 Enrollment ID: O20220602001208  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Ollie Herron, FNP-C, PMHNP-BC 2470 Whiteville Newcastle Rd, Whiteville, TN 38075-7442 Ph: (731) 228-9068  | Ms Ollie Herron, FNP-C, PMHNP-BC 623 Moss Ln, Bolivar, TN 38008-1074 Ph: (731) 228-9068  | 
Mrs. Tammi L Ferguson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Market St, Suite J, Bolivar, TN 38008 Phone: 731-652-5772 Fax: 731-658-1981  | |
Ms. Jeannie A Ferri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-658-4079  | |
Maggie G. Billings, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11100 Highway 64, Bolivar, TN 38008 Phone: 731-518-8480 Fax: 731-658-4216  | |
Rachel Tosh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1359 W Market St, Bolivar, TN 38008 Phone: 731-361-1003 Fax: 731-361-1004  | |
Gregary Byers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Tennessee St, Bolivar, TN 38008 Phone: 731-212-3196 Fax: 731-212-3193  | |
Rubye Couchoud, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10710 Old Highway 64, Bolivar, TN 38008 Phone: 731-658-6113 Fax: 731-658-1597  | |
Mrs. Kayla Jolly Holt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-394-1145  |