Jennifer Courtway (NPI# 1790256733, PAC ID# 0446599047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1790256733 |
PAC ID by PECOS | 0446599047 |
Professional Enrollment ID | I20190226001497 |
Full Name | Jennifer Courtway |
Organization Legal Name | CANNON COUNTY HEALTHCARE PC |
Address |
205 S Mccrary St Woodbury TN 37190-1439 |
Phone Number | 6155632891 |
Gender | F |
Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5890778575 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440200 | STONES RIVER HOSPITAL |
Address | Phone | Organization |
---|---|---|
205 S Mccrary St, Woodbury, TN 37190-1439 | 6155632891 | CANNON COUNTY HEALTHCARE PC |
Organization Legal Name | CANNON COUNTY HEALTHCARE PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula M Todd | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
Rachel L Rivers | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
Street Address |
205 S MCCRARY ST |
City | WOODBURY |
State | TN |
Zip | 37190-1439 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula M Todd | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
Rachel L Rivers | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jaime C Blaylock | Nurse Practitioner | James R Spurlock IIi Do | 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 |
James R Spurlock Iii | Family Medicine | James R Spurlock IIi Do | 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 |
Holly S Blankenship | Family Medicine | 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 | |
Theda D Bell | Clinical Social Worker | 105 S Tatum St, Woodbury, TN 37190-1138 | |
Bernard J Coomes | Chiropractic | 313 W Main St, Suite C, Woodbury, TN 37190-1144 | |
Trea C Wessel | Chiropractic | 824 Mcminnville Hwy, Woodbury, TN 37190-1241 | |
Tabitha M Smith | Nurse Practitioner | Community Wellness Clinic, Inc | 89 Mears Dr, Woodbury, TN 37190-1284 |
Heather Melton | Nurse Practitioner | Community Wellness Clinic, Inc | 89 Mears Dr, Woodbury, TN 37190-1284 |
City | WOODBURY |
Zip Code | 37190 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WOODBURY + NURSE PRACTITIONER |
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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.