Kerri Huddleston (NPI# 1457845760, PAC ID# 5698023869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1457845760 |
PAC ID by PECOS | 5698023869 |
Professional Enrollment ID | I20180803001009 |
Full Name | Kerri Huddleston |
Organization Legal Name | PRMC HEALTHCARE GROUP, INC. |
Address |
103 N College St Clarksville Clinic Clarksville TX 75426-2982 |
Phone Number | 9034275682 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6406919901 |
Number of Group Practice Members | 39 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450196 | PARIS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
103 N College St, Clarksville Clinic, Clarksville, TX 75426-2982 | 9034275682 | PRMC HEALTHCARE GROUP, INC. |
Organization Legal Name | PRMC HEALTHCARE GROUP, INC. |
Physicians | 27 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan R Grant | Urology | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
Candice G Daughtrey | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 140, Paris, TX 75460-6085 |
Paula Mckinney | Nurse Practitioner | Prmc Healthcare Group, Inc. | 514 B E Wilson St, Valliant, OK 74764-9115 |
Shazli P Naseer | Family Practice | Prmc Healthcare Group, Inc. | 2870 Lewis Ln, Paris, TX 75460-9380 |
Mary E Jackson | Nurse Practitioner | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
Brandilyn K Chadwick | Nurse Practitioner | Prmc Healthcare Group, Inc. | 1055 Clarksville St, Suite 170, Paris, TX 75460-0213 |
Ebele Chira | Endocrinology | Prmc Healthcare Group, Inc. | 2850 Lewis Ln, Paris, TX 75460-9378 |
Sheila J Adams | Nurse Practitioner | Prmc Healthcare Group, Inc. | 865 Deshong Dr, Paris, TX 75460-9313 |
Leah Rochelle Chiles | Urology | Prmc Healthcare Group, Inc. | 2915 N Main St, Wicliff Urology, Paris, TX 74560-9360 |
William Dickey | Gastroenterology | Prmc Healthcare Group, Inc. | 2850 Lewis Ln, Paris, TX 75460-9378 |
Street Address |
103 N COLLEGE ST CLARKSVILLE CLINIC |
City | CLARKSVILLE |
State | TX |
Zip | 75426-2982 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ravi K Sreerama | Internal Medicine | 103 N College St, Clarksville, TX 75426-2982 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robin Michelle Hawthorne | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
Rachel Leah Stanley | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
Stacey D Ervin | Nurse Practitioner | Hhy, LLC | 1805 Industrial Way, Clarksville, TX 75426-2564 |
Bacharanianda Muthappa | Family Medicine | B. C. Muthappa, M.d., P.a. | 120 Farm Rd, Suite 2825, Clarksville, TX 75426-3348 |
Deepak Bacharanianda Muthappa | Family Medicine | B. C. Muthappa, M.d., P.a. | 120 Farm Rd, Suite 2825, Clarksville, TX 75426-3348 |
Marilyn S Degenhardt | Clinical Social Worker | Supportive Care LLC | 300 E Baker St, Clarksville, TX 75426-5034 |
Mary Elizabeth Cannon | Clinical Social Worker | Supportive Care LLC | 300 E Baker St, Clarksville, TX 75426-5034 |
City | CLARKSVILLE |
Zip Code | 75426 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CLARKSVILLE + 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.