Shonda L Tucker (NPI# 1528436334, PAC ID# 4789968819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528436334 |
| PAC ID by PECOS | 4789968819 |
| Professional Enrollment ID | I20170308002241 |
| Full Name | Shonda L Tucker |
| Organization Legal Name | BISHOFBURGER MEDICAL ASSOCIATES OF EAST TENNESSEE |
| Address |
188 Hospital Ln Jellico TN 37762-4400 |
| Phone Number | 4237841272 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668551094 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440180 | JELLICO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 188 Hospital Ln, Jellico, TN 37762-4400 | 4237841272 | BISHOFBURGER MEDICAL ASSOCIATES OF EAST TENNESSEE |
| Organization Legal Name | BISHOFBURGER MEDICAL ASSOCIATES OF EAST TENNESSEE |
| Physicians | 1 |
| Street Address |
188 HOSPITAL LN |
| City | JELLICO |
| State | TN |
| Zip | 37762-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura D Wilkens | Certified Registered Nurse Anesthetist | Jellico Community Hospital, Inc. | 188 Hospital Ln, Jellico, TN 37762-4400 |
| Taska L Morelock | Physician Assistant | Southeastern Emergency Services P C | 188 Hospital Ln, Jellico, TN 37762-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory C. Wilkens | General Surgery | 131 Hospital Lane, Suite 100, Jellico, TN 37762 | |
| Walter Stephens | Physical Therapy | Maximum Potential Physical Therapy, Pllc | 269 S Main St, Jellico, TN 37762-2018 |
| Ruhul Choudhury | Internal Medicine | Appalachia Health Services | 292 N Main St, Jellico, TN 37762-2132 |
| Cathleen C Suto | Obstetrics/gynecology | Dayspring Health Inc | 550 Sunset Trail, Jellico, TN 37762-2343 |
| Allison Branam | Physician Assistant | Dayspring Health Inc | 550 Sunset Trail, Jellico, TN 37762-2343 |
| Rebekkah M Witten | Clinical Social Worker | Dayspring Health Inc | 550 Sunset Trail, Jellico, TN 37762-2343 |
| Keven Wayne Jeffers | Physician Assistant | Dayspring Health Inc | 550 Sunset Trail, Jellico, TN 37762-2343 |
| Mohammed H Kabir | Internal Medicine | 486 S Florence Ave, Jellico, TN 37762-2382 | |
| James G Huffman | Ophthalmology | Huffman and Huffman, Psc | 467 Sunset Trl, Jellico, TN 37762-2709 |
| Stephen M Mckinley | Optometry | Associates In Eye Care, Inc. | 467 Sunset Trl, Jellico, TN 37762-2709 |
| Find all physicians in zip 37762 | |||
| City | JELLICO |
| Zip Code | 37762 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JELLICO + 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.