Holly Clem (NPI# 1780008391, PAC ID# 4688806987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780008391 |
| PAC ID by PECOS | 4688806987 |
| Professional Enrollment ID | I20140421002040 |
| Full Name | Holly Clem |
| Organization Legal Name | DEBORAH VERBEEK |
| Address |
25495 Main St Ardmore TN 38449-0746 |
| Phone Number | 9314276969 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012949746 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440020 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM PULASKI |
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25495 Main St, Ardmore, TN 38449-0746 | 9314276969 | DEBORAH VERBEEK |
| Organization Legal Name | DEBORAH VERBEEK |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Vollmer | Family Medicine | Deborah Verbeek | 25495 Main St, Ardmore, TN 38449-0746 |
| Deborah R Verbeek | Nurse Practitioner | Deborah Verbeek | 25495 Main St, Ardmore, TN 38449-0746 |
| Nicolas D Christofidis | Nurse Practitioner | Deborah Verbeek | 25495 Main St, Ardmore, TN 38449-0746 |
| Street Address |
25495 MAIN ST |
| City | ARDMORE |
| State | TN |
| Zip | 38449-0746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Vollmer | Family Medicine | Deborah Verbeek | 25495 Main St, Ardmore, TN 38449-0746 |
| Deborah R Verbeek | Nurse Practitioner | Deborah Verbeek | 25495 Main St, Ardmore, TN 38449-0746 |
| Nicolas D Christofidis | Nurse Practitioner | Deborah Verbeek | 25495 Main St, Ardmore, TN 38449-0746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billie R Russell | Nurse Practitioner | Integrated Behavioral Health, Inc | 25850 Main St, Ardmore, TN 38449-3156 |
| Jerry Owen Barrett | General Practice | 26270 Main St, Ardmore, TN 38449-3158 | |
| Robyn Wilson | Family Medicine | Amg-hillside LLC | 26032 Main St, Ardmore, TN 38449-3375 |
| Robyn Thigpen | Nurse Practitioner | Amg-hillside LLC | 26032 Main St, Ardmore, TN 38449-3375 |
| Nancy C Turner | Internal Medicine | Hh Physician Care-elkton Tennessee | 1446 Bryson Rd, Ardmore, TN 38449-5228 |
| Jon D Turner | Cardiovascular Disease (cardiology) | Hh Physician Care-elkton Tennessee | 1446 Bryson Rd, Ardmore, TN 38449-5228 |
| City | ARDMORE |
| Zip Code | 38449 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ARDMORE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly Clem.
| 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.