FOR YOUR HEALTH FAMILY CLINIC PC (NPI# 1659704054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659704054 |
| Entity Type | Organization |
| Organization Name | FOR YOUR HEALTH FAMILY CLINIC PC |
| Practice Address |
178 Schools Dr Camden TN 38320-3026 |
| Mailing Address |
178 Schools Dr P.o. Box 723 Camden TN 38320-3026 |
| Practice Telephone | 7315843181 |
| Practice Fax Number | 7315842345 |
| Mailing Telephone | 7315843181 |
| Mailing Fax Number | 7315842345 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | ANDREA S ABBOTT (CEO/OWNER) |
| Authorized Official Telephone | 7315843181 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000017728 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
178 SCHOOLS DR |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
| 1174030001 | Jessica Ann Donaldson | Nurse Practitioner | 9562 State Route #13, Camden, NY 13316-4940 | 2017-12-31 |
| 1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
| 1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
| 1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
| 1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| 1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
| 1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.