Callie Jo Jervis (NPI# 1841739125, PAC ID# 0446534713) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841739125 |
| PAC ID by PECOS | 0446534713 |
| Professional Enrollment ID | I20170306000533 |
| Full Name | Callie Jo Jervis |
| Address |
121 Oak Ridge Ct Suite A Prestonsburg KY 41653-8607 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| 180128 | THREE RIVERS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 64 Kirk Plz, Inez, KY 41224-6501 | 6062982520 | MARTIN COUNTY RURAL HEALTH CLINIC PLLC |
| 121 Oak Ridge Ct, Suite A, Prestonsburg, KY 41653-8607 | ||
| 283 Goble St, Prestonsburg, KY 41653-7967 | 6068742300 | FRONTIER BEHAVIORAL HEALTH CENTER PLLC |
| 4851 Ky Route 321, Prestonsburg, KY 41653-9113 | 6068861173 | EASTERN KENTUCKY TENDER CARE PEDIATRICS, LLC |
| 838 E Mountain Pkwy, Salyersville, KY 41465-8378 | 6063497475 | FRONTIER BEHAVIORAL HEALTH CENTER PLLC |
| Street Address |
121 OAK RIDGE CT SUITE A |
| City | PRESTONSBURG |
| State | KY |
| Zip | 41653-8607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candice Denise Stevens | Nurse Practitioner | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Lauren M Harwood | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Anshu K Jain | Radiation Oncology | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Venu Madhav Konala | Hematology/oncology | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Ray Slone Jr. | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 5000 Kentucky, Suite 321, Prestonsburg, KY 41653 |
| Kirti Jain | Hematology/oncology | Kirti K Jain, Md Psc | 4958 Ky Hwy 321, Prestonburg, KY 41653 |
| Chad O Patterson | General Surgery | Consolidated Health Systems Inc | 400 University Dr, Prestonsburg, KY 41653-1080 |
| Matthew Turner | Internal Medicine | Hometown Family Care Pllc | 400 University Dr, Suite 101a, Prestonsburg, KY 41653-1080 |
| Christopher Bailey | Family Medicine | Hometown Family Care Pllc | 400 University Dr, Suite 101a, Prestonsburg, KY 41653-1080 |
| Kendra M Burgess | Physician Assistant | Hometown Family Care Pllc | 400 University Dr, Suite 101a, Prestonsburg, KY 41653-1080 |
| Find all physicians in zip 41653 | |||
| City | PRESTONSBURG |
| Zip Code | 41653 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRESTONSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Callie Jo Jervis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.