| Phaedra A Hill-lazenby, CRNP | |
|
1250 Jesse Jewell Pkwy Se Ste 400, Gainesville, GA 30501-3865 | |
| (770) 536-9864 | |
| (770) 297-5023 |
| Full Name | Phaedra A Hill-lazenby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1250 Jesse Jewell Pkwy Se Ste 400, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346880739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-107679 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | RN299320 (Georgia) | Primary |
| Entity Name | App Of Alabama Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Entity Name | Etagbo Eta Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942849716 PECOS PAC ID: 9335575638 Enrollment ID: O20200205001039 |
| Mailing Address | Practice Location Address |
|---|---|
| Phaedra A Hill-lazenby, CRNP 1250 Jesse Jewell Pkwy Se Ste 400, Gainesville, GA 30501-3865 Ph: (770) 536-9864 | Phaedra A Hill-lazenby, CRNP 1250 Jesse Jewell Pkwy Se Ste 400, Gainesville, GA 30501-3865 Ph: (770) 536-9864 |
Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599 | |
Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 | |
Laura J Banner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
Molly Bruce, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 |