| Tammie L Blevins, ANP | |
|
220 E County Rd, Jerseyville, IL 62052-3125 | |
| (618) 498-8467 | |
| (618) 639-2017 |
| Full Name | Tammie L Blevins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 220 E County Rd, Jerseyville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114250966 | NPI | - | NPPES |
| 12007750 | Other | IL | CAQH ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209007631 (Illinois) | Primary |
| Entity Name | Jersey Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammie L Blevins, ANP 390 Maple Summit Rd, Jerseyville, IL 62052-2000 Ph: (618) 498-7518 | Tammie L Blevins, ANP 220 E County Rd, Jerseyville, IL 62052-3125 Ph: (618) 498-8467 |
Melissa G Kulp, MS, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, E Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Ms. Ellen Edith Mouser, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E County Rd, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 | |
Ms. Victoria A Hargrave, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Mrs. Deborah Marie Seymour, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Alexandra Irene Evans, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153 | |
Amber N. Wright, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 220 E County Rd, East Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017 |