| Dr Takeshia Monique Dent-thomas, DNP, MSN, CCRN, NP-C | |
| 3039 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2397 | |
| (205) 538-5178 | |
| (205) 538-5194 | 
| Full Name | Dr Takeshia Monique Dent-thomas | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3039 Allison Bonnett Memorial Dr, Hueytown, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306197942 | NPI | - | NPPES | 
| 186301 | Medicaid | AL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-107825 (Alabama) | Primary | 
| Entity Name | Mobile Medicine Of Alabama | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053724252 PECOS PAC ID: 7315232246 Enrollment ID: O20160817000809 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Takeshia Monique Dent-thomas, DNP, MSN, CCRN, NP-C 3039 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2397 Ph: (205) 538-5178 | Dr Takeshia Monique Dent-thomas, DNP, MSN, CCRN, NP-C 3039 Allison Bonnett Memorial Dr, Hueytown, AL 35023-2397 Ph: (205) 538-5178 | 
| Jerelyn H Tiller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-744-4410 Fax: 205-744-6150 | |
| Ronda Lea Freeman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-491-3299 Fax: 205-744-8761 | |
| Ms. Kimberly Nicole Stewart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3029 Allison Bonnett Memorial Dr Ste 107, Hueytown, AL 35023 Phone: 205-436-8270 Fax: 205-436-8275 | |
| Kelli Michelle Kirby, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-744-4410 | |
| Shantel Ruffin,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3004 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-491-3299 | |
| Julie Kemp,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3029 Allison Bonnett Memorial Dr, Hueytown, AL 35023 Phone: 205-996-2273 |