| Raven J Mccarroll, APRN | |
|
615 E Broadway Blvd, Jefferson City, TN 37760-4906 | |
| (865) 262-0182 | |
| (423) 616-8363 |
| Full Name | Raven J Mccarroll |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 615 E Broadway Blvd, Jefferson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235862483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000031917 (Tennessee) | Primary |
| Entity Name | Weaver Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588383350 PECOS PAC ID: 0143666115 Enrollment ID: O20240313000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Raven J Mccarroll, APRN 368 Yorkshire Ct, Morristown, TN 37814-8215 Ph: (865) 262-0182 | Raven J Mccarroll, APRN 615 E Broadway Blvd, Jefferson City, TN 37760-4906 Ph: (865) 262-0182 |
Mrs. Sally Ruth Hensley, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-471-5110 Fax: 865-471-5105 | |
Barbara Jean Smith, MSN, RN, FNP-BC,CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1004 N Highway 92, Suite C, Jefferson City, TN 37760 Phone: 865-475-6100 Fax: 865-475-6106 | |
Lisa Carol Bryant, MSN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760 Phone: 865-475-9062 | |
Kiara Regina Hackler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760 Phone: 865-475-9062 Fax: 865-475-9063 | |
Mr. Neil Edward Pressley, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-9969 Fax: 865-475-9901 | |
Kaitlyn Gouge Mccarter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1646 Russell Ave, Jefferson City, TN 37760 Phone: 865-471-2000 | |
Dr. Betty Jo Ellington, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Russell Ave, Jefferson City, TN 37760 Phone: 865-471-5525 |