| Tiffany Sherell Newell, NP | |
|
112 W Peeler Ave, Shaw, MS 38773-8710 | |
| (662) 754-3301 | |
| Not Available |
| Full Name | Tiffany Sherell Newell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 112 W Peeler Ave, Shaw, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538774310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NEWE-FUNLNT (Mississippi) | Primary |
| Entity Name | Aaron E Henry Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003814104 PECOS PAC ID: 1153230560 Enrollment ID: O20040330001267 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Sherell Newell, NP 202 Newell Street, Arcola, MS 38722-0041 Ph: (662) 820-8566 | Tiffany Sherell Newell, NP 112 W Peeler Ave, Shaw, MS 38773-8710 Ph: (662) 754-3301 |
Teresa Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 | |
Kimberly Robinson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3301 | |
Mrs. Willie Mary Bolden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-745-6638 | |
Mrs. Sereka V Walker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304 | |
Mrs. Regina Jonelle Evans, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304 | |
Nora Cecelia Gough-davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Peeler Ave, Shaw, MS 38773 Phone: 662-754-3301 Fax: 662-754-3304 |