| Nicole Clark Haney, | |
|
1613 N Mckenzie St, Foley, AL 36535-2247 | |
| (251) 949-3711 | |
| (251) 949-3715 |
| Full Name | Nicole Clark Haney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 1613 N Mckenzie St, Foley, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528726627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 1-201570 (Alabama) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 30602 (Tennessee) | Primary |
| Entity Name | Ut Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Clark Haney, Po Box 689022, Franklin, TN 37068-9022 Ph: (629) 235-9745 | Nicole Clark Haney, 1613 N Mckenzie St, Foley, AL 36535-2247 Ph: (251) 949-3711 |
Tiffany Wilson Wade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22394 Miflin Rd Ste 203, Foley, AL 36535 Phone: 251-943-3622 Fax: 251-943-3683 | |
Heather Brice Steigerwald, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 N Alston St, Foley, AL 36535 Phone: 251-943-5440 Fax: 251-943-5404 | |
Skyler Martin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 669 S Mckenzie St, Foley, AL 36535 Phone: 251-625-6896 | |
Mrs. Micki Sharpe Korn, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 East Laurel Avenue, Foley, AL 36535 Phone: 251-943-7901 Fax: 251-943-1949 | |
Barbara Jernigan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1613 N Mckenzie St, Foley, AL 36535 Phone: 251-949-3710 Fax: 251-949-3715 | |
Allison Burgess, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8158 Us Highway 59, Suite 107, Foley, AL 36535 Phone: 251-955-1600 | |
Dana Paris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 W Myrtle Ave, Foley, AL 36535 Phone: 251-943-5437 Fax: 251-943-3227 |