| Fast Pace Kentucky Pllc | |
|
1475 Nashville Rd Franklin KY 42134 | |
| (270) 813-1111 | |
| (270) 813-1112 |
| Full Name | Fast Pace Kentucky Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1475 Nashville Rd, Franklin, Kentucky |
| Authorized Official Name and Position | Matt Davis (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6159881574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Kentucky Pllc 5141 Virginia Way Suite 390 Brentwood TN 37027-7572 Ph: (615) 988-1571 | Fast Pace Kentucky Pllc 1475 Nashville Rd Franklin KY 42134 Ph: (270) 813-1111 |
| NPI Number | 1457716706 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 10/15/2021 |
| Medicare PECOS PAC ID | 0143525998 |
|---|---|
| Medicare Enrollment ID | O20160216002913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457716706 | NPI | - | NPPES |
| Provider Name | John W Sublett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811447717 PECOS PAC ID: 5890786537 Enrollment ID: I20040520001156 |
| Provider Name | Jason Chad Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104857432 PECOS PAC ID: 6406847938 Enrollment ID: I20040521001118 |
| Provider Name | Karen M Scheich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881673515 PECOS PAC ID: 7618954983 Enrollment ID: I20040706000084 |
| Provider Name | Anaclare B Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548287980 PECOS PAC ID: 4789635012 Enrollment ID: I20050203000778 |
| Provider Name | Karen R Orberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891746004 PECOS PAC ID: 5193768257 Enrollment ID: I20050609000200 |
| Provider Name | Sandra Kay Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477602043 PECOS PAC ID: 2961427596 Enrollment ID: I20051012000513 |
| Provider Name | Ronald D Weddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326049552 PECOS PAC ID: 6103830385 Enrollment ID: I20060126000503 |
| Provider Name | Melissa J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861443384 PECOS PAC ID: 3678585064 Enrollment ID: I20060629000373 |
| Provider Name | Lucille Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902859192 PECOS PAC ID: 7214932003 Enrollment ID: I20060929000283 |
| Provider Name | Shauna Gish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306940762 PECOS PAC ID: 9537168646 Enrollment ID: I20061218000305 |
| Provider Name | Christy L Wortham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871553859 PECOS PAC ID: 5890791719 Enrollment ID: I20070530000379 |
| Provider Name | Kathryn J Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063584472 PECOS PAC ID: 1456447176 Enrollment ID: I20071011000027 |
| Provider Name | Christine M Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790865624 PECOS PAC ID: 6305921255 Enrollment ID: I20080317000449 |
| Provider Name | Jennifer L Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386649432 PECOS PAC ID: 2264495084 Enrollment ID: I20080606000527 |
| Provider Name | Lisa A Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750554069 PECOS PAC ID: 4486728656 Enrollment ID: I20080806000201 |
| Provider Name | Jill Suzette Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871758904 PECOS PAC ID: 1557439213 Enrollment ID: I20081007000856 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912162132 PECOS PAC ID: 5496814022 Enrollment ID: I20081111000454 |
| Provider Name | Richard Bobay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881732881 PECOS PAC ID: 6406916238 Enrollment ID: I20081124000191 |
| Provider Name | Gerri L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235379215 PECOS PAC ID: 1658429899 Enrollment ID: I20090428000377 |
| Provider Name | Mitzi N Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245481811 PECOS PAC ID: 9335290477 Enrollment ID: I20090630000478 |
| Provider Name | Jennifer J West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184852659 PECOS PAC ID: 0547313454 Enrollment ID: I20090724000304 |
| Provider Name | Debra S Lusk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285866301 PECOS PAC ID: 3779629589 Enrollment ID: I20091008000408 |
| Provider Name | Stephanie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962632265 PECOS PAC ID: 9436298155 Enrollment ID: I20091209000147 |
| Provider Name | Millicent G Kadner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174859409 PECOS PAC ID: 5294877007 Enrollment ID: I20100116000004 |
| Provider Name | Janie E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699762690 PECOS PAC ID: 2961546981 Enrollment ID: I20100215000386 |
| Provider Name | Jennifer L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841255742 PECOS PAC ID: 6800930660 Enrollment ID: I20100217000078 |
| Provider Name | Cindy J Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801123831 PECOS PAC ID: 9638211626 Enrollment ID: I20100311000655 |
| Provider Name | Michael L Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053640698 PECOS PAC ID: 2264569227 Enrollment ID: I20100422000618 |
| Provider Name | Jennifer Kaye Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013231786 PECOS PAC ID: 9032248927 Enrollment ID: I20100602000943 |
| Provider Name | Elizabeth Scheidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467776716 PECOS PAC ID: 2365579901 Enrollment ID: I20100612000003 |
| Provider Name | Diana Ladow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891011698 PECOS PAC ID: 3072644814 Enrollment ID: I20100623000523 |
| Provider Name | Erica Mcwhorter-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982852893 PECOS PAC ID: 9739374620 Enrollment ID: I20101117001256 |
| Provider Name | Kimberly Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124332861 PECOS PAC ID: 1456549518 Enrollment ID: I20101216000565 |
| Provider Name | Jonathan Manuel Rey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679745368 PECOS PAC ID: 1254529613 Enrollment ID: I20101229000507 |
| Provider Name | Stephanie L Mundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912212143 PECOS PAC ID: 8426247412 Enrollment ID: I20110110000875 |
| Provider Name | Sandra Lee Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700186343 PECOS PAC ID: 3971792664 Enrollment ID: I20110111000968 |
| Provider Name | Robin Renee Yanguas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619282282 PECOS PAC ID: 8921287566 Enrollment ID: I20110127000936 |
| Provider Name | Diana S King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104129238 PECOS PAC ID: 5395926604 Enrollment ID: I20110221000011 |
| Provider Name | Tameron C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912234535 PECOS PAC ID: 4981885100 Enrollment ID: I20110222000409 |
| Provider Name | Ashley D Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679872683 PECOS PAC ID: 8527245521 Enrollment ID: I20110531000217 |
| Provider Name | Jill Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700177292 PECOS PAC ID: 2769660901 Enrollment ID: I20110617000113 |
| Provider Name | Kristina Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235438144 PECOS PAC ID: 6507034980 Enrollment ID: I20110801000053 |
| Provider Name | Kelly R Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871880336 PECOS PAC ID: 1759550171 Enrollment ID: I20110801000735 |
| Provider Name | Hunter W Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801068861 PECOS PAC ID: 8820268659 Enrollment ID: I20110902000262 |
| Provider Name | Felicia D Geron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265729990 PECOS PAC ID: 0143491209 Enrollment ID: I20110921000236 |
| Provider Name | Simon Spilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578728002 PECOS PAC ID: 6305017062 Enrollment ID: I20110929000270 |
| Provider Name | Annette Lynn Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497035505 PECOS PAC ID: 3173795283 Enrollment ID: I20111015000022 |
| Provider Name | Shelly Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518248699 PECOS PAC ID: 1759558315 Enrollment ID: I20120123000307 |
| Provider Name | Lori R Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447537105 PECOS PAC ID: 6103084223 Enrollment ID: I20120221000700 |
| Provider Name | Julie Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730496563 PECOS PAC ID: 6608038658 Enrollment ID: I20120508000775 |
| Provider Name | Jeannie M Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326314824 PECOS PAC ID: 2668636523 Enrollment ID: I20120606000244 |
| Provider Name | Leslie S Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568722304 PECOS PAC ID: 0941465686 Enrollment ID: I20120703000435 |
| Provider Name | Cecelia H Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417205808 PECOS PAC ID: 2466602917 Enrollment ID: I20121018000816 |
| Provider Name | Richard D Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588921738 PECOS PAC ID: 8426208653 Enrollment ID: I20121025000098 |
| Provider Name | Gregory J Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497007298 PECOS PAC ID: 6103076203 Enrollment ID: I20121026000164 |
| Provider Name | Tabitha T Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578817110 PECOS PAC ID: 7416109715 Enrollment ID: I20121213000248 |
| Provider Name | Jennifer L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992057889 PECOS PAC ID: 9032355326 Enrollment ID: I20130410000552 |
| Provider Name | Janet Y Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700159886 PECOS PAC ID: 3577709195 Enrollment ID: I20130425000728 |
| Provider Name | Sarah J Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477896306 PECOS PAC ID: 4183861297 Enrollment ID: I20130509000302 |
| Provider Name | Kandace Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144562620 PECOS PAC ID: 2163669102 Enrollment ID: I20130509000636 |
| Provider Name | Tonya S Motayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639412679 PECOS PAC ID: 3870731078 Enrollment ID: I20130529000982 |
| Provider Name | Valerie G Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457794604 PECOS PAC ID: 3779722053 Enrollment ID: I20130618000065 |
| Provider Name | Pamela E Copher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083057673 PECOS PAC ID: 3678712866 Enrollment ID: I20130619000367 |
| Provider Name | Amanda Kimbler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864516 PECOS PAC ID: 7618118241 Enrollment ID: I20130724000865 |
| Provider Name | James Carroll Corder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700227147 PECOS PAC ID: 1658513643 Enrollment ID: I20130802000860 |
| Provider Name | Lorrie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851734149 PECOS PAC ID: 9335382803 Enrollment ID: I20130830000792 |
| Provider Name | Kelly Coriene Keplinger-page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477989838 PECOS PAC ID: 9335375013 Enrollment ID: I20131203000295 |
| Provider Name | Shelly L Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770906513 PECOS PAC ID: 3274763255 Enrollment ID: I20140313001915 |
| Provider Name | Carmen N Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295158285 PECOS PAC ID: 9739310525 Enrollment ID: I20140319001645 |
| Provider Name | Kristee C Shoulders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558784769 PECOS PAC ID: 5395976476 Enrollment ID: I20140403000409 |
| Provider Name | Molly Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386080752 PECOS PAC ID: 7012140643 Enrollment ID: I20140505002230 |
| Provider Name | Jessica D Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841604576 PECOS PAC ID: 0941426969 Enrollment ID: I20140729001038 |
| Provider Name | Omega C Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376943324 PECOS PAC ID: 4587885843 Enrollment ID: I20141030000291 |
| Provider Name | Elizabeth I Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194128462 PECOS PAC ID: 7517289192 Enrollment ID: I20141210001223 |
| Provider Name | Aimee Mihalyov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003153776 PECOS PAC ID: 8527295468 Enrollment ID: I20141215001967 |
| Provider Name | Jamie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740684729 PECOS PAC ID: 2365766771 Enrollment ID: I20150113000765 |
| Provider Name | Angela R Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134522469 PECOS PAC ID: 6406170760 Enrollment ID: I20150115001894 |
| Provider Name | Cassaidy Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962872 PECOS PAC ID: 8123343563 Enrollment ID: I20150206000776 |
| Provider Name | Elizabeth Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861880221 PECOS PAC ID: 0244556637 Enrollment ID: I20150302001670 |
| Provider Name | Tracie L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689063349 PECOS PAC ID: 1850612755 Enrollment ID: I20150603003116 |
| Provider Name | Elizabeth M Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700274792 PECOS PAC ID: 6507187135 Enrollment ID: I20150608000745 |
| Provider Name | Favia Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679953897 PECOS PAC ID: 2062723505 Enrollment ID: I20150624001805 |
| Provider Name | Kasey Hollenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760864169 PECOS PAC ID: 8325354152 Enrollment ID: I20150825003359 |
| Provider Name | Chelsey B Farless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891171724 PECOS PAC ID: 9133435415 Enrollment ID: I20150901002122 |
| Provider Name | Suvada Salkic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134504152 PECOS PAC ID: 2668789181 Enrollment ID: I20150916001582 |
| Provider Name | Dena Lynn Kommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174813240 PECOS PAC ID: 5193980928 Enrollment ID: I20151008002637 |
| Provider Name | Molly A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174920623 PECOS PAC ID: 2769791797 Enrollment ID: I20151014001209 |
| Provider Name | Tiffany M Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780002980 PECOS PAC ID: 4486887098 Enrollment ID: I20151014001923 |
| Provider Name | Amanda F Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902273535 PECOS PAC ID: 9739498577 Enrollment ID: I20151019001892 |
| Provider Name | Kara Ann Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649649716 PECOS PAC ID: 8426367814 Enrollment ID: I20151026002801 |
| Provider Name | Gina Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154792463 PECOS PAC ID: 9133420540 Enrollment ID: I20151208003305 |
| Provider Name | Richard Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467428680 PECOS PAC ID: 5294799870 Enrollment ID: I20151211001104 |
| Provider Name | Linda J. Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326412875 PECOS PAC ID: 4587966403 Enrollment ID: I20160111000395 |
| Provider Name | Melodye Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780054452 PECOS PAC ID: 6507169505 Enrollment ID: I20160126000838 |
| Provider Name | Timothy Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275991663 PECOS PAC ID: 4486958352 Enrollment ID: I20160212002040 |
| Provider Name | Mary F Heitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013375898 PECOS PAC ID: 9931404126 Enrollment ID: I20160225002104 |
| Provider Name | Dana Kay Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497781454 PECOS PAC ID: 9931393329 Enrollment ID: I20160303002602 |
| Provider Name | Sandra Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134408461 PECOS PAC ID: 6608047386 Enrollment ID: I20160308002206 |
| Provider Name | Tonya R Shepherd Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109777 PECOS PAC ID: 3476859828 Enrollment ID: I20160310000856 |
| Provider Name | Johna M Wix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043466139 PECOS PAC ID: 7416193743 Enrollment ID: I20160311000310 |
| Provider Name | Lora Renee Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699135723 PECOS PAC ID: 7719284454 Enrollment ID: I20160324000861 |
| Provider Name | Melissa Rae Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275904021 PECOS PAC ID: 6709183833 Enrollment ID: I20160404002276 |
| Provider Name | Jacklyn T Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699136929 PECOS PAC ID: 2860790367 Enrollment ID: I20160418000744 |
| Provider Name | Pamela Louise Polly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598132979 PECOS PAC ID: 7517266430 Enrollment ID: I20160427002323 |
| Provider Name | Tara R. Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611652 PECOS PAC ID: 8820397391 Enrollment ID: I20160504002296 |
| Provider Name | Deena D Carrico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577564 PECOS PAC ID: 9133428543 Enrollment ID: I20160505001108 |
| Provider Name | Kimberly S Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326492919 PECOS PAC ID: 7719286004 Enrollment ID: I20160509002354 |
| Provider Name | Barbara Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658663 PECOS PAC ID: 7113146655 Enrollment ID: I20160729002131 |
| Provider Name | Miranda N Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295196137 PECOS PAC ID: 2264726975 Enrollment ID: I20160803001261 |
| Provider Name | Anne Claire Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235581653 PECOS PAC ID: 3072808617 Enrollment ID: I20160822003002 |
| Provider Name | Tiffany Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720531551 PECOS PAC ID: 1759676851 Enrollment ID: I20160829002309 |
| Provider Name | Allison L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649726670 PECOS PAC ID: 9739477563 Enrollment ID: I20161011003147 |
| Provider Name | Julie Lynne Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508990540 PECOS PAC ID: 5799915732 Enrollment ID: I20161012001382 |
| Provider Name | Rita Nicole Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033666524 PECOS PAC ID: 8022306570 Enrollment ID: I20161017000378 |
| Provider Name | Marion J Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487009080 PECOS PAC ID: 7214215722 Enrollment ID: I20161102002815 |
| Provider Name | Jennifer Hudgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053660316 PECOS PAC ID: 6800011099 Enrollment ID: I20161129001723 |
| Provider Name | Rosa Lee Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964971 PECOS PAC ID: 7911287321 Enrollment ID: I20161130002102 |
| Provider Name | Johnna C Shown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316398977 PECOS PAC ID: 4486934569 Enrollment ID: I20161207000473 |
| Provider Name | Christina M Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351586 PECOS PAC ID: 8325320708 Enrollment ID: I20170119001078 |
| Provider Name | Tammy Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952753378 PECOS PAC ID: 1456633692 Enrollment ID: I20170123002095 |
| Provider Name | Holly M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003352626 PECOS PAC ID: 0143502286 Enrollment ID: I20170124003156 |
| Provider Name | Courtney Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538604657 PECOS PAC ID: 8921381302 Enrollment ID: I20170208002840 |
| Provider Name | Leslye Bransford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269464 PECOS PAC ID: 7911280995 Enrollment ID: I20170217000893 |
| Provider Name | Diane Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205222676 PECOS PAC ID: 1850612599 Enrollment ID: I20170217002141 |
| Provider Name | Sierra Greenwade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679010466 PECOS PAC ID: 7618251471 Enrollment ID: I20170223001201 |
| Provider Name | Karen Denise Daingerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538594494 PECOS PAC ID: 9133354772 Enrollment ID: I20170306000150 |
| Provider Name | Sherra Lynn Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003267402 PECOS PAC ID: 6608151154 Enrollment ID: I20170323001197 |
| Provider Name | Sherry Gallimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004529 PECOS PAC ID: 6507142692 Enrollment ID: I20170403001968 |
| Provider Name | Robert Carl Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265751671 PECOS PAC ID: 0547385940 Enrollment ID: I20170428000350 |
| Provider Name | Stephanie Fnpc Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932057 PECOS PAC ID: 0345520714 Enrollment ID: I20170504002251 |
| Provider Name | Timothy Wade Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720429517 PECOS PAC ID: 0648413732 Enrollment ID: I20170616000438 |
| Provider Name | Brandi E Kost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477076487 PECOS PAC ID: 0941571376 Enrollment ID: I20170803002047 |
| Provider Name | Ellen L Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477087963 PECOS PAC ID: 4880965896 Enrollment ID: I20170809004273 |
| Provider Name | Echo Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016287 PECOS PAC ID: 6800167743 Enrollment ID: I20170810001594 |
| Provider Name | Trisha Ann Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447773320 PECOS PAC ID: 5597037283 Enrollment ID: I20170815003132 |
| Provider Name | Jennifer Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154844678 PECOS PAC ID: 7618249335 Enrollment ID: I20170815004271 |
| Provider Name | Rebecca Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659895894 PECOS PAC ID: 9133491756 Enrollment ID: I20170816004537 |
| Provider Name | Jennifer Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023532397 PECOS PAC ID: 7315210598 Enrollment ID: I20170911000796 |
| Provider Name | Rebecca Banfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124552369 PECOS PAC ID: 8224302963 Enrollment ID: I20170920000166 |
| Provider Name | Susan Dauwalder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366409179 PECOS PAC ID: 4587674908 Enrollment ID: I20170927002082 |
| Provider Name | Crystal L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124141 PECOS PAC ID: 9830461771 Enrollment ID: I20171102003385 |
| Provider Name | Stephannie Goodrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396405 PECOS PAC ID: 7719243781 Enrollment ID: I20171107002069 |
| Provider Name | Brandi Carmical |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477065803 PECOS PAC ID: 1850657867 Enrollment ID: I20171108000188 |
| Provider Name | Kassy Rickard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174037790 PECOS PAC ID: 7810254752 Enrollment ID: I20171130001241 |
| Provider Name | Mitchell Smith Mcmanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295168383 PECOS PAC ID: 4082993241 Enrollment ID: I20180112001737 |
| Provider Name | Angelique Marie Leist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053828145 PECOS PAC ID: 8022378405 Enrollment ID: I20180202001012 |
| Provider Name | Jason Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598192858 PECOS PAC ID: 0042570046 Enrollment ID: I20180213001564 |
| Provider Name | Mary Catherine Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760980882 PECOS PAC ID: 3870854425 Enrollment ID: I20180223000243 |
| Provider Name | Shannon Michelle Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730697517 PECOS PAC ID: 1355602723 Enrollment ID: I20180227001319 |
| Provider Name | Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688979 PECOS PAC ID: 0840551123 Enrollment ID: I20180301000482 |
| Provider Name | Heather Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699283382 PECOS PAC ID: 2466714886 Enrollment ID: I20180323001470 |
| Provider Name | Thomas Perry Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894471 PECOS PAC ID: 9739442682 Enrollment ID: I20180406001260 |
| Provider Name | Kimberly Renee Turpin-rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659883882 PECOS PAC ID: 1254694110 Enrollment ID: I20180406001855 |
| Provider Name | Jenna Lynn Boothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720583495 PECOS PAC ID: 4284997438 Enrollment ID: I20180420002219 |
| Provider Name | Courtney Nicole Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215457288 PECOS PAC ID: 8123382082 Enrollment ID: I20180501003022 |
| Provider Name | Tina Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700380375 PECOS PAC ID: 4385908623 Enrollment ID: I20180514001061 |
| Provider Name | Timothy Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467949073 PECOS PAC ID: 6204190283 Enrollment ID: I20180522001417 |
| Provider Name | Shih-chia Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720462252 PECOS PAC ID: 9032474085 Enrollment ID: I20180523000757 |
| Provider Name | Maranda Wortham Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679062731 PECOS PAC ID: 2264797166 Enrollment ID: I20180524000448 |
| Provider Name | Kayleigh Rose Money |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821807 PECOS PAC ID: 9537414800 Enrollment ID: I20180611001795 |
| Provider Name | Emily M Ginn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245728070 PECOS PAC ID: 8426303405 Enrollment ID: I20180614002158 |
| Provider Name | Selena Michelle Gurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215214432 PECOS PAC ID: 1052577368 Enrollment ID: I20180716002724 |
| Provider Name | Jon Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225524812 PECOS PAC ID: 9739436429 Enrollment ID: I20180726001949 |
| Provider Name | Stephanie R Woosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760973895 PECOS PAC ID: 7416206859 Enrollment ID: I20180820000246 |
| Provider Name | Adrienne Lynn Brown Tinch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487143418 PECOS PAC ID: 0143579292 Enrollment ID: I20180822002046 |
| Provider Name | Sherelen Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467947267 PECOS PAC ID: 5395094296 Enrollment ID: I20180827002373 |
| Provider Name | Ginger Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730667759 PECOS PAC ID: 0446500029 Enrollment ID: I20180830003429 |
| Provider Name | Margo Caitlin Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689184939 PECOS PAC ID: 8224388509 Enrollment ID: I20180906003521 |
| Provider Name | Tiffany S Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528207917 PECOS PAC ID: 4284782327 Enrollment ID: I20180907002741 |
| Provider Name | Christopher A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023534500 PECOS PAC ID: 0941105985 Enrollment ID: I20180912003697 |
| Provider Name | Alison Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023522737 PECOS PAC ID: 4284993528 Enrollment ID: I20180918001539 |
| Provider Name | Angela Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861923898 PECOS PAC ID: 6709137292 Enrollment ID: I20180921002506 |
| Provider Name | Marcy Dawn Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699205476 PECOS PAC ID: 0244581353 Enrollment ID: I20180927002666 |
| Provider Name | Adrienne N Offutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427541309 PECOS PAC ID: 5395094643 Enrollment ID: I20181011001825 |
| Provider Name | Susan Scuffle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839102 PECOS PAC ID: 9032461280 Enrollment ID: I20181016003130 |
| Provider Name | Nikita Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629309018 PECOS PAC ID: 4284877564 Enrollment ID: I20181017003230 |
| Provider Name | Mary Jean Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215416581 PECOS PAC ID: 1658624713 Enrollment ID: I20181019001425 |
| Provider Name | Patrick Gorman Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629561493 PECOS PAC ID: 6103179270 Enrollment ID: I20181019002084 |
| Provider Name | Wendy Harrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977993 PECOS PAC ID: 8628321908 Enrollment ID: I20181102002413 |
| Provider Name | Kimberly Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669947735 PECOS PAC ID: 4981958857 Enrollment ID: I20181112001718 |
| Provider Name | Kasey Fawbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295201770 PECOS PAC ID: 3476807736 Enrollment ID: I20181126003717 |
| Provider Name | Vickie Ann Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942717152 PECOS PAC ID: 5991049033 Enrollment ID: I20181130001457 |
| Provider Name | Tamra Deanette Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215419551 PECOS PAC ID: 8426392069 Enrollment ID: I20181207001429 |
| Provider Name | Donna Marie Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879322 PECOS PAC ID: 9133464019 Enrollment ID: I20181220002862 |
| Provider Name | Claudia Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225525520 PECOS PAC ID: 9335404409 Enrollment ID: I20190104001132 |
| Provider Name | Anna Martz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902374879 PECOS PAC ID: 4587900907 Enrollment ID: I20190107001000 |
| Provider Name | Jenna Arend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417429960 PECOS PAC ID: 5799023396 Enrollment ID: I20190206001152 |
| Provider Name | Carlee Elizabeth Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396235172 PECOS PAC ID: 2961740477 Enrollment ID: I20190207002466 |
| Provider Name | Patricia Linn Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106377 PECOS PAC ID: 5092053553 Enrollment ID: I20190208001957 |
| Provider Name | Jacquelyn Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306313549 PECOS PAC ID: 2860730116 Enrollment ID: I20190211003203 |
| Provider Name | Pamela Poghen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366712770 PECOS PAC ID: 4082962907 Enrollment ID: I20190213001320 |
| Provider Name | Nicole K Hance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639515794 PECOS PAC ID: 8527200211 Enrollment ID: I20190218001157 |
| Provider Name | Kelly Frances Canterberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770049751 PECOS PAC ID: 2860731833 Enrollment ID: I20190308002173 |
| Provider Name | Amber R Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306302096 PECOS PAC ID: 9739429259 Enrollment ID: I20190320001811 |
| Provider Name | Andrea L Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753086 PECOS PAC ID: 5890035208 Enrollment ID: I20190321002622 |
| Provider Name | Kelli Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104391580 PECOS PAC ID: 9638419674 Enrollment ID: I20190328002950 |
| Provider Name | Marti Alex Biggerstaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124597174 PECOS PAC ID: 0345581104 Enrollment ID: I20190404002720 |
| Provider Name | Barry Louis Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316292956 PECOS PAC ID: 1456256494 Enrollment ID: I20190408001551 |
| Provider Name | Jessica Lee Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659645646 PECOS PAC ID: 7911153051 Enrollment ID: I20190412001091 |
| Provider Name | Stevie Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538622345 PECOS PAC ID: 8820330517 Enrollment ID: I20190429002418 |
| Provider Name | Lori Eve Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912270265 PECOS PAC ID: 2860658176 Enrollment ID: I20190430002607 |
| Provider Name | Danielle Nicole Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417321779 PECOS PAC ID: 3577864248 Enrollment ID: I20190509002163 |
| Provider Name | Stacey C Greenwell-osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356809768 PECOS PAC ID: 4688917834 Enrollment ID: I20190510000639 |
| Provider Name | Ariel Jade Mujakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641879 PECOS PAC ID: 9133462104 Enrollment ID: I20190514001655 |
| Provider Name | Jessica Nicole Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245700442 PECOS PAC ID: 1759624729 Enrollment ID: I20190514001746 |
| Provider Name | Wendy Ann Simpkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356835391 PECOS PAC ID: 3870836356 Enrollment ID: I20190524001540 |
| Provider Name | Brittany Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306309422 PECOS PAC ID: 5092048249 Enrollment ID: I20190604000667 |
| Provider Name | Debra A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245792522 PECOS PAC ID: 8527391416 Enrollment ID: I20190607001776 |
| Provider Name | Abby Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425844 PECOS PAC ID: 8527393016 Enrollment ID: I20190703001986 |
| Provider Name | Alexis N Sherfey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305777 PECOS PAC ID: 6507192150 Enrollment ID: I20190719002438 |
| Provider Name | Robyn Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851858948 PECOS PAC ID: 5698002517 Enrollment ID: I20190814002994 |
| Provider Name | Jennifer L Durling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649739574 PECOS PAC ID: 3971830829 Enrollment ID: I20190814004228 |
| Provider Name | Crystal Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427522028 PECOS PAC ID: 2668709569 Enrollment ID: I20190815001920 |
| Provider Name | Traci Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366997827 PECOS PAC ID: 9537447396 Enrollment ID: I20190815003309 |
| Provider Name | Regina Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902951429 PECOS PAC ID: 7113113754 Enrollment ID: I20190815003622 |
| Provider Name | Erika Sparks Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518519651 PECOS PAC ID: 9234467267 Enrollment ID: I20190828002827 |
| Provider Name | Kerri Ann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104384437 PECOS PAC ID: 7517296783 Enrollment ID: I20190912003639 |
| Provider Name | Sydney Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000109 PECOS PAC ID: 8628308673 Enrollment ID: I20190918001419 |
| Provider Name | Danielle E Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699324566 PECOS PAC ID: 1052641677 Enrollment ID: I20190925000866 |
| Provider Name | Sarah Laber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700445624 PECOS PAC ID: 5496085599 Enrollment ID: I20191002001311 |
| Provider Name | Lisa Kay Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306304969 PECOS PAC ID: 4789914805 Enrollment ID: I20191002002123 |
| Provider Name | Kimberly S Houchens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861991176 PECOS PAC ID: 1658631841 Enrollment ID: I20191009001770 |
| Provider Name | Lori Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033677646 PECOS PAC ID: 1951632199 Enrollment ID: I20191018002222 |
| Provider Name | Claire Elizabeth Knott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740840149 PECOS PAC ID: 2567793730 Enrollment ID: I20191021000284 |
| Provider Name | Shonda Danielle Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982128526 PECOS PAC ID: 1759613961 Enrollment ID: I20191021002309 |
| Provider Name | Angela D Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386942134 PECOS PAC ID: 6901082940 Enrollment ID: I20191030000631 |
| Provider Name | Jessica Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669015103 PECOS PAC ID: 7911330261 Enrollment ID: I20191127002022 |
| Provider Name | April Renee Dunaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379410 PECOS PAC ID: 6507299138 Enrollment ID: I20191211003261 |
| Provider Name | Ashley Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255581799 PECOS PAC ID: 9931261088 Enrollment ID: I20191212003049 |
| Provider Name | Dorothy Danielle-maria Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760979413 PECOS PAC ID: 6406109222 Enrollment ID: I20191214000247 |
| Provider Name | Susan Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659747228 PECOS PAC ID: 3375852684 Enrollment ID: I20191217002553 |
| Provider Name | Jennifer L Cothern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326680638 PECOS PAC ID: 8527492883 Enrollment ID: I20191219003156 |
| Provider Name | Dana Nall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558920488 PECOS PAC ID: 7416381652 Enrollment ID: I20191223000544 |
| Provider Name | Kayla Hendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326685066 PECOS PAC ID: 1052745874 Enrollment ID: I20200102000731 |
| Provider Name | Kelsea Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306482294 PECOS PAC ID: 6406280080 Enrollment ID: I20200107003526 |
| Provider Name | Katherine Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588506 PECOS PAC ID: 4981939709 Enrollment ID: I20200109000461 |
| Provider Name | Brandy Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841838794 PECOS PAC ID: 6406281237 Enrollment ID: I20200123003183 |
| Provider Name | Adrionna Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154960169 PECOS PAC ID: 4486080181 Enrollment ID: I20200128001882 |
| Provider Name | Jordan Freels Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437798352 PECOS PAC ID: 1557797875 Enrollment ID: I20200205001799 |
| Provider Name | Rachel P Houchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598304040 PECOS PAC ID: 6608202676 Enrollment ID: I20200211001595 |
| Provider Name | Jessica Kay Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457981581 PECOS PAC ID: 6002243839 Enrollment ID: I20200217002492 |
| Provider Name | Crista Randol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689226797 PECOS PAC ID: 3173850690 Enrollment ID: I20200225000751 |
| Provider Name | Jamie E Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780216721 PECOS PAC ID: 7214364595 Enrollment ID: I20200226001551 |
| Provider Name | John Bryant Coots |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235773532 PECOS PAC ID: 5991132193 Enrollment ID: I20200228000862 |
| Provider Name | Kimberly Michelle Gilstrap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023640489 PECOS PAC ID: 9537597380 Enrollment ID: I20200310002194 |
| Provider Name | Mandi K Tomazic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740812908 PECOS PAC ID: 7214365717 Enrollment ID: I20200316002459 |
| Provider Name | Glee Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851494934 PECOS PAC ID: 8123127560 Enrollment ID: I20200318001678 |
| Provider Name | Leigh Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740421692 PECOS PAC ID: 1951454479 Enrollment ID: I20200324003249 |
| Provider Name | Teresa Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831721323 PECOS PAC ID: 5698105021 Enrollment ID: I20200424002584 |
| Provider Name | Amanda Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700419090 PECOS PAC ID: 1456789452 Enrollment ID: I20200428000910 |
| Provider Name | Emily Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619503836 PECOS PAC ID: 3870923006 Enrollment ID: I20200430001268 |
| Provider Name | Janna R. Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023504644 PECOS PAC ID: 4688005507 Enrollment ID: I20200509000063 |
| Provider Name | Dawn K Sirek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760944797 PECOS PAC ID: 6002243110 Enrollment ID: I20200515002508 |
| Provider Name | Patricia Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780221648 PECOS PAC ID: 9234553850 Enrollment ID: I20200715003033 |
| Provider Name | Diana R Leszczewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770129272 PECOS PAC ID: 2668896028 Enrollment ID: I20200720000995 |
| Provider Name | Brooke Ann Grawet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627221 PECOS PAC ID: 7214352723 Enrollment ID: I20200730003715 |
| Provider Name | Christine Huckabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336688001 PECOS PAC ID: 8527483775 Enrollment ID: I20200804003457 |
| Provider Name | Tiffany Newhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988014 PECOS PAC ID: 1052736188 Enrollment ID: I20200805003154 |
| Provider Name | Erin Nicole Garmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851909576 PECOS PAC ID: 4789009515 Enrollment ID: I20200810003466 |
| Provider Name | Sara E Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316556780 PECOS PAC ID: 6507282977 Enrollment ID: I20200814002836 |
| Provider Name | Whitney Elizabeth Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063022465 PECOS PAC ID: 9133545080 Enrollment ID: I20200821002619 |
| Provider Name | Adelle Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962872473 PECOS PAC ID: 2668899014 Enrollment ID: I20200831000961 |
| Provider Name | Shawna Nally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538603600 PECOS PAC ID: 0941587885 Enrollment ID: I20201008000324 |
| Provider Name | Amy Pendleton Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184232548 PECOS PAC ID: 1557781325 Enrollment ID: I20201015002645 |
| Provider Name | Stacy Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386004240 PECOS PAC ID: 0941599211 Enrollment ID: I20201020001670 |
| Provider Name | Kristie Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740880640 PECOS PAC ID: 9032529961 Enrollment ID: I20201104003077 |
| Provider Name | Nicole Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831796416 PECOS PAC ID: 4486065794 Enrollment ID: I20201117002915 |
| Provider Name | Chelsea Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487257432 PECOS PAC ID: 9234540261 Enrollment ID: I20201124001301 |
| Provider Name | Joyce Marie Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497356745 PECOS PAC ID: 3173934601 Enrollment ID: I20201204000552 |
| Provider Name | Ann L Doty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356876866 PECOS PAC ID: 3375895774 Enrollment ID: I20201207001705 |
| Provider Name | Amber L Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891390597 PECOS PAC ID: 2264844356 Enrollment ID: I20201214003049 |
| Provider Name | Kayla Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396349619 PECOS PAC ID: 1557773488 Enrollment ID: I20201216003114 |
| Provider Name | John Franklin Scates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640434 PECOS PAC ID: 3274967021 Enrollment ID: I20201221002899 |
| Provider Name | Stephanie B Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104422492 PECOS PAC ID: 3476965021 Enrollment ID: I20201223002175 |
| Provider Name | Danielle Renee Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801482112 PECOS PAC ID: 7214340785 Enrollment ID: I20201231000483 |
| Provider Name | Sarah R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871110486 PECOS PAC ID: 8628481884 Enrollment ID: I20210106002883 |
| Provider Name | Abigayle Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629698485 PECOS PAC ID: 0547674277 Enrollment ID: I20210120002784 |
| Provider Name | Camille Mae Carl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730788720 PECOS PAC ID: 3072927649 Enrollment ID: I20210122002101 |
| Provider Name | Beth L Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522754 PECOS PAC ID: 7719391739 Enrollment ID: I20210202001243 |
| Provider Name | Joseph Christopher Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104441914 PECOS PAC ID: 4284048125 Enrollment ID: I20210204000227 |
| Provider Name | Carson Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679163703 PECOS PAC ID: 3971918640 Enrollment ID: I20210211000973 |
| Provider Name | Janssen Shea Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144813403 PECOS PAC ID: 1052726262 Enrollment ID: I20210222001854 |
| Provider Name | Abbi Leigh Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487247466 PECOS PAC ID: 2365858594 Enrollment ID: I20210311002971 |
| Provider Name | Kendra M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740754829 PECOS PAC ID: 7911247994 Enrollment ID: I20210601002320 |
| Provider Name | Suzanna Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912510306 PECOS PAC ID: 0547680308 Enrollment ID: I20210603003132 |
| Provider Name | Laura Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912376 PECOS PAC ID: 9032338728 Enrollment ID: I20210708001701 |
| Provider Name | Vicky Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568012227 PECOS PAC ID: 8325440480 Enrollment ID: I20210712002925 |
| Provider Name | Katie J Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033792726 PECOS PAC ID: 3870997703 Enrollment ID: I20210813001904 |
| Provider Name | Raghib Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417518077 PECOS PAC ID: 0446582480 Enrollment ID: I20210819003357 |
| Provider Name | Jessica N Wallen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427670827 PECOS PAC ID: 3971908518 Enrollment ID: I20210820000268 |
| Provider Name | Ashley Nicole Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313528 PECOS PAC ID: 9739517368 Enrollment ID: I20210830001234 |
| Provider Name | Taylor L Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851065767 PECOS PAC ID: 9638575616 Enrollment ID: I20210831002998 |
| Provider Name | Edwin Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009379 PECOS PAC ID: 2365848744 Enrollment ID: I20210909003647 |
| Provider Name | Christen Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467125278 PECOS PAC ID: 7416354022 Enrollment ID: I20210924000547 |
| Provider Name | Timothy J Allran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538757042 PECOS PAC ID: 8022415454 Enrollment ID: I20210927003196 |
| Provider Name | Jamie Leigh Baldock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669142808 PECOS PAC ID: 5092113985 Enrollment ID: I20211006003426 |
| Provider Name | Amelia L Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982186284 PECOS PAC ID: 3476892399 Enrollment ID: I20211022001086 |
| Provider Name | Tammy Guffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649949645 PECOS PAC ID: 5193113231 Enrollment ID: I20211022001270 |
| Provider Name | Caitlin Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316565666 PECOS PAC ID: 5193145837 Enrollment ID: I20211116002457 |
| Provider Name | Taryn Alycia Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043980352 PECOS PAC ID: 6800285420 Enrollment ID: I20211119000119 |
| Provider Name | Shianne Autumn Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982275368 PECOS PAC ID: 8325438732 Enrollment ID: I20211129001320 |
| Provider Name | Mary Burkeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710642350 PECOS PAC ID: 7618368069 Enrollment ID: I20211220002120 |
| Provider Name | Theresa Curlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033709779 PECOS PAC ID: 8820403546 Enrollment ID: I20211230001547 |
| Provider Name | Kathryn L Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831854934 PECOS PAC ID: 3072905306 Enrollment ID: I20220119001693 |
| Provider Name | Alana Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147757 PECOS PAC ID: 5092092296 Enrollment ID: I20220124001708 |
| Provider Name | Stephanyie K Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790457935 PECOS PAC ID: 1557754173 Enrollment ID: I20220203000678 |
| Provider Name | Jami Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083797211 PECOS PAC ID: 8325357650 Enrollment ID: I20220228002776 |
| Provider Name | Brenda Mastin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053742783 PECOS PAC ID: 9436382066 Enrollment ID: I20220303002263 |
| Provider Name | Michelle N Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386302214 PECOS PAC ID: 6204221104 Enrollment ID: I20220310002904 |
| Provider Name | Lindsey Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417601451 PECOS PAC ID: 6709271232 Enrollment ID: I20220321001484 |
| Provider Name | Gradaphene I Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649929811 PECOS PAC ID: 3173910957 Enrollment ID: I20220426000489 |
| Provider Name | Jessica Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965614 PECOS PAC ID: 9133516594 Enrollment ID: I20220517001534 |
| Provider Name | Alayna Michelle Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811666563 PECOS PAC ID: 1355728171 Enrollment ID: I20220517002957 |
| Provider Name | Julie Anne Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235726480 PECOS PAC ID: 6406233972 Enrollment ID: I20220523001377 |
| Provider Name | Emma Katherine Gillim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851023782 PECOS PAC ID: 7618359597 Enrollment ID: I20220809003344 |
| Provider Name | Julia D Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174259915 PECOS PAC ID: 8224411095 Enrollment ID: I20220811003762 |
| Provider Name | Courtney Blandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799913 PECOS PAC ID: 3971984782 Enrollment ID: I20220816002228 |
| Provider Name | Amanda Carin Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922632892 PECOS PAC ID: 0446633697 Enrollment ID: I20220819002785 |
| Provider Name | Samantha Ann Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225769391 PECOS PAC ID: 8527442623 Enrollment ID: I20220908000257 |
| Provider Name | Megan D Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831818038 PECOS PAC ID: 8820473457 Enrollment ID: I20220919002292 |
| Provider Name | Heather Jan Matthies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457794646 PECOS PAC ID: 4880834472 Enrollment ID: I20220926002099 |
| Provider Name | Haylee E Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306574777 PECOS PAC ID: 7315323284 Enrollment ID: I20220929001603 |
| Provider Name | Michelle Lee Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780348284 PECOS PAC ID: 6103134606 Enrollment ID: I20221018000369 |
| Provider Name | Kylee D Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861082455 PECOS PAC ID: 7214304906 Enrollment ID: I20221109002592 |
| Provider Name | Melinda Hargrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770050494 PECOS PAC ID: 9234470386 Enrollment ID: I20221128001906 |
| Provider Name | Tiffany Trowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578028239 PECOS PAC ID: 3274867338 Enrollment ID: I20221130001864 |
| Provider Name | Robert Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20221212002063 |
| Provider Name | Brittany Read Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174279277 PECOS PAC ID: 1759750441 Enrollment ID: I20221220002348 |
| Provider Name | Lauren Brooke Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992884 PECOS PAC ID: 6204206667 Enrollment ID: I20221228002696 |
| Provider Name | Tia S Mcnamee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447985676 PECOS PAC ID: 9931579950 Enrollment ID: I20230106002116 |
| Provider Name | Rebecca Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497495618 PECOS PAC ID: 6507237070 Enrollment ID: I20230119001853 |
| Provider Name | Brittany Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396450276 PECOS PAC ID: 5092186957 Enrollment ID: I20230201000829 |
| Provider Name | Katherine Laura Breeden Rodriguez-guerrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275232209 PECOS PAC ID: 2668846049 Enrollment ID: I20230327001003 |
| Provider Name | Tina Gay Cooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932861994 PECOS PAC ID: 3577938596 Enrollment ID: I20230405000742 |
| Provider Name | Marsha Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316658842 PECOS PAC ID: 5799150546 Enrollment ID: I20230407001182 |
| Provider Name | Sheena Lynn Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417671041 PECOS PAC ID: 0749655348 Enrollment ID: I20230413000909 |
| Provider Name | Trisha Ann Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700548369 PECOS PAC ID: 8123483450 Enrollment ID: I20230515002593 |
| Provider Name | Amy Turley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750874384 PECOS PAC ID: 3678821915 Enrollment ID: I20230516001311 |
| Provider Name | Heather Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073288320 PECOS PAC ID: 7618351438 Enrollment ID: I20230727002648 |
| Provider Name | Janet S Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861635799 PECOS PAC ID: 1759439466 Enrollment ID: I20230824000812 |
| Provider Name | Tara Cornella Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134827926 PECOS PAC ID: 6800250911 Enrollment ID: I20230907003243 |
| Provider Name | Monika Varney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114700697 PECOS PAC ID: 9830543628 Enrollment ID: I20230927003367 |
| Provider Name | Rebekah Boyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376208355 PECOS PAC ID: 3274916820 Enrollment ID: I20231009002252 |
| Provider Name | Crystal Gail Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245930577 PECOS PAC ID: 7012362015 Enrollment ID: I20231011002121 |
| Provider Name | Tina Rigsby Prousalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366684979 PECOS PAC ID: 2567513773 Enrollment ID: I20231025002682 |
| Provider Name | Mackenzie Cupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871516 PECOS PAC ID: 8022467737 Enrollment ID: I20231206003530 |
| Provider Name | Samantha Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043870157 PECOS PAC ID: 9436488012 Enrollment ID: I20231214000363 |
| Provider Name | Marissa Kirchenbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851890693 PECOS PAC ID: 2264793959 Enrollment ID: I20231228000229 |
| Provider Name | Tammy Lynn Phelps-sallier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153268 PECOS PAC ID: 9537519871 Enrollment ID: I20231228001184 |
| Provider Name | Krystal Osinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710587944 PECOS PAC ID: 5395151013 Enrollment ID: I20240120000318 |
| Provider Name | Rachel Ann Kiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275303828 PECOS PAC ID: 3678926326 Enrollment ID: I20240129003914 |
| Provider Name | Xiaomin Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568236198 PECOS PAC ID: 3173966769 Enrollment ID: I20240212000523 |
| Provider Name | James Pennington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063098192 PECOS PAC ID: 4688017486 Enrollment ID: I20240215001881 |
| Provider Name | Angelia Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083799837 PECOS PAC ID: 6305993437 Enrollment ID: I20240216003704 |
| Provider Name | Veronica Lynn Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659147734 PECOS PAC ID: 5092159525 Enrollment ID: I20240222003585 |
| Provider Name | Robyn Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851858948 PECOS PAC ID: 5698002517 Enrollment ID: I20240314000880 |
| Provider Name | Amanda Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770619074 PECOS PAC ID: 5698146009 Enrollment ID: I20240314003415 |
| Provider Name | Maria Cada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871054460 PECOS PAC ID: 0244561140 Enrollment ID: I20240314003888 |
| Provider Name | Teara N Albin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932961653 PECOS PAC ID: 9931546868 Enrollment ID: I20240327000922 |
| Provider Name | Lora Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346834843 PECOS PAC ID: 6305246992 Enrollment ID: I20240329001893 |
| Provider Name | Tammy Sue Gambrel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568984706 PECOS PAC ID: 3870931298 Enrollment ID: I20240404001869 |
| Provider Name | Erin Dunagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154187037 PECOS PAC ID: 1355780917 Enrollment ID: I20240415003581 |
| Provider Name | Shenia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538777529 PECOS PAC ID: 1153749882 Enrollment ID: I20240518000113 |
| Provider Name | Mikayla H Collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154101657 PECOS PAC ID: 4880036094 Enrollment ID: I20240520002209 |
| Provider Name | Sydnee Tynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144071960 PECOS PAC ID: 0244772960 Enrollment ID: I20240610003348 |
| Provider Name | Rachel Lynn Manter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639922958 PECOS PAC ID: 1951844364 Enrollment ID: I20240613002360 |
| Provider Name | Sarina A Sahay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114777323 PECOS PAC ID: 6800330127 Enrollment ID: I20240627002825 |
| Provider Name | Kayla Renee Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750123170 PECOS PAC ID: 9335686450 Enrollment ID: I20240806003431 |
| Provider Name | Karen M. Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295185882 PECOS PAC ID: 2567756786 Enrollment ID: I20240809001487 |
| Provider Name | Jamie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255177523 PECOS PAC ID: 9032659008 Enrollment ID: I20240905003217 |
| Provider Name | Jered Allen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295572329 PECOS PAC ID: 5991245565 Enrollment ID: I20240910001775 |
| Provider Name | Constance Louise Mahin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265260061 PECOS PAC ID: 5698216760 Enrollment ID: I20240917003822 |
| Provider Name | Sue Ann Gholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093428245 PECOS PAC ID: 6406387372 Enrollment ID: I20241002002348 |
| Provider Name | Schaunelle D Pagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770776866 PECOS PAC ID: 6406390400 Enrollment ID: I20241004001127 |
| Provider Name | Janice Elaine Hebblethwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871299149 PECOS PAC ID: 1355873076 Enrollment ID: I20241018000232 |
| Provider Name | Rebecca J Fowlkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427290071 PECOS PAC ID: 4688707243 Enrollment ID: I20241024001891 |
| Provider Name | Markeesha Danielle Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841074077 PECOS PAC ID: 2264965334 Enrollment ID: I20241028002415 |
| Provider Name | Heather Louann Privett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689491094 PECOS PAC ID: 7911430772 Enrollment ID: I20241031002654 |
| Provider Name | Marcy M Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326203886 PECOS PAC ID: 5890854962 Enrollment ID: I20241101002590 |
| Provider Name | Hayley Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538903307 PECOS PAC ID: 6608300553 Enrollment ID: I20241114001724 |
| Provider Name | Hannah Rena Earl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750108163 PECOS PAC ID: 7214461193 Enrollment ID: I20241114002612 |
| Provider Name | Mylanda Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902596695 PECOS PAC ID: 7719412329 Enrollment ID: I20241119004103 |
| Provider Name | Kelly Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255996732 PECOS PAC ID: 4385972710 Enrollment ID: I20241204000779 |
| Provider Name | Jessica Burress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265115950 PECOS PAC ID: 7315391075 Enrollment ID: I20241205001867 |
| Provider Name | Tristian Nicole Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407671316 PECOS PAC ID: 8628504255 Enrollment ID: I20241206000333 |
| Provider Name | Taylor Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407334477 PECOS PAC ID: 4981949971 Enrollment ID: I20241210004479 |
| Provider Name | Kelley Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730502733 PECOS PAC ID: 6709174584 Enrollment ID: I20241212002580 |
| Provider Name | Clarissa Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720596356 PECOS PAC ID: 3274977921 Enrollment ID: I20241220002151 |
| Provider Name | Amanda Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093494445 PECOS PAC ID: 3072955640 Enrollment ID: I20241228000121 |
| Provider Name | Alvinia Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376512889 PECOS PAC ID: 6800810565 Enrollment ID: I20241231002605 |
| Provider Name | Brianna Lynn Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760295166 PECOS PAC ID: 8325569494 Enrollment ID: I20250305001619 |
| Provider Name | Vanna Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215435417 PECOS PAC ID: 8729334925 Enrollment ID: I20250307002928 |
| Provider Name | Edalyn Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134924459 PECOS PAC ID: 7719408434 Enrollment ID: I20250310002706 |
| Provider Name | Marvin Wilcutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063210003 PECOS PAC ID: 9436671278 Enrollment ID: I20250320003073 |
| Provider Name | Candice Anglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700510690 PECOS PAC ID: 1850762527 Enrollment ID: I20250325001588 |
| Provider Name | Jolene Carol Schmucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275132433 PECOS PAC ID: 8628597671 Enrollment ID: I20250522002736 |
| Provider Name | Christine Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568748879 PECOS PAC ID: 1355502915 Enrollment ID: I20250522003042 |
| Provider Name | Jeannie Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407963374 PECOS PAC ID: 3577979715 Enrollment ID: I20250523000646 |
| Provider Name | Krystal Rall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033790167 PECOS PAC ID: 6204228414 Enrollment ID: I20250603003120 |
| Provider Name | Courtney Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407492325 PECOS PAC ID: 7113352279 Enrollment ID: I20250613000072 |
Bowling Green-warren County Community Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 S Main St, Franklin, KY 42134 Phone: 270-586-5888 Fax: 270-586-0255 | |
Commonwealth Health Corporation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 S Main St, Franklin, KY 42134 Phone: 270-586-5888 Fax: 270-586-5101 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1475 Nashville Rd, Franklin, KY 42134 Phone: 931-253-1110 | |
John V Adams Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Memorial Dr, Franklin, KY 42134 Phone: 270-586-9533 Fax: 270-586-0123 | |
Larry W Maynard, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Brookhaven Rd, Franklin, KY 42134 Phone: 270-586-1800 Fax: 270-598-4930 | |
Bowling Green-warren County Community Hospital Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 S Main St, Franklin, KY 42134 Phone: 270-586-5888 Fax: 270-586-0255 | |
Commonwealth Health Corporation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Brookhaven Rd, Franklin, KY 42134 Phone: 270-745-1467 Fax: 270-745-1156 |