| Stephanie Jean Kennedy-southall, FNP-C | |
|
115 E Brooklyn St, Linden, TN 37096-3515 | |
| (931) 589-2104 | |
| (931) 589-2513 |
| Full Name | Stephanie Jean Kennedy-southall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 115 E Brooklyn St, Linden, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588156483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 188184 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN24410 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alm And Agm Llc | 6608263090 | 7 |
| Entity Name | Perry County Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154322303 PECOS PAC ID: 4981706330 Enrollment ID: O20070303000037 |
| Entity Name | Alm & Agm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689322844 PECOS PAC ID: 6608263090 Enrollment ID: O20221110002273 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Jean Kennedy-southall, FNP-C Po Box 916, Linden, TN 37096-0916 Ph: () - | Stephanie Jean Kennedy-southall, FNP-C 115 E Brooklyn St, Linden, TN 37096-3515 Ph: (931) 589-2104 |
Elizabeth A Paschall, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 847 Squirrel Hollow Dr, Linden, TN 37096 Phone: 931-589-2600 Fax: 931-589-2602 | |
Mrs. Vivian Denise Stokes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 East Brooklyn Street, Linden, TN 37096 Phone: 931-589-2104 Fax: 931-589-2513 | |
Kenisha Renea Hester, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 847 Squirrel Hollow Dr, Linden, TN 37096 Phone: 931-589-2600 | |
Kerri Garrison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Medical Dr, Linden, TN 37096 Phone: 931-589-2222 | |
Andrea Marie Dewinter, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 314 Poplin Hollow Rd, Linden, TN 37096 Phone: 616-350-0960 | |
Mary Katelyn Pratt, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Medical Dr Ste A, Linden, TN 37096 Phone: 931-589-2600 Fax: 931-589-2602 | |
Magnolia Pafford, F.N.P.-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Medical Dr, Linden, TN 37096 Phone: 931-589-2222 Fax: 931-589-2400 |