| Sue Ann Richardson, APRN, FNP-BC | |
|
1940 N Jackson St Ste 220, Tullahoma, TN 37388-8256 | |
| (931) 455-4616 | |
| (931) 455-2362 |
| Full Name | Sue Ann Richardson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1940 N Jackson St Ste 220, Tullahoma, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376844357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN0000015298 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APN15298 (Tennessee) | Secondary |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Ann Richardson, APRN, FNP-BC 2196 Wayside Rd, Manchester, TN 37355-6824 Ph: (931) 841-1314 | Sue Ann Richardson, APRN, FNP-BC 1940 N Jackson St Ste 220, Tullahoma, TN 37388-8256 Ph: (931) 455-4616 |
Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829 | |
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040 | |
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677 | |
Kacy Mikala Kirk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-455-3400 | |
Kristen George, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Westside Dr Ste 4, Tullahoma, TN 37388 Phone: 931-993-2508 Fax: 877-832-3242 | |
Ladonna Marie Ledford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 S Anderson St, Tullahoma, TN 37388 Phone: 931-563-7464 Fax: 931-563-7401 | |
James Estes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4584 Fax: 931-461-4962 |