Mary Lou Cameron (NPI# 1922323559, PAC ID# 7810172442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1922323559 |
| PAC ID by PECOS | 7810172442 |
| Professional Enrollment ID | I20110426000450 |
| Full Name | Mary Lou Cameron |
| Organization Legal Name | EXPRESS HEALTH CLINIC CORPORATION |
| Address |
153 E Broadway Blvd Jefferson City TN 37760-2517 |
| Phone Number | 8654715111 |
| Gender | F |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496751976 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 8654715111 | EXPRESS HEALTH CLINIC CORPORATION |
| Organization Legal Name | EXPRESS HEALTH CLINIC CORPORATION |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Michelle Rodgers | Nurse Practitioner | Express Health Clinic Corporation | 228 N Fairmont Ave, Suite 4, Morristown, TN 37814-3768 |
| Kassi Wright | Nurse Practitioner | Express Health Clinic Corporation | 1130 N Charles Seivers Blvd, Clinton, TN 37716 |
| Annita J Rowland | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Barbara A Brock | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Brenda Badawi | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Rachel H Rolen | Nurse Practitioner | Express Health Clinic Corporation | 1130 N Charles Seivers Blvd, Clinton, TN 37716 |
| Steven Casey Boring | Nurse Practitioner | Express Health Clinic Corporation | 1130 N Charles Seivers Blvd, Clinton, TN 37716 |
| Jeannie B Levi | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Kristin S Kramer | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Melissa Brooks | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Street Address |
153 E BROADWAY BLVD |
| City | JEFFERSON CITY |
| State | TN |
| Zip | 37760-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annita J Rowland | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Barbara A Brock | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Brenda Badawi | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Jeannie B Levi | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Kristin S Kramer | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Melissa Brooks | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Michelle L Currier | Nurse Practitioner | Express Health Clinic Corporation | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Kachelmyer | Physician Assistant | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Vita L Mayes | Physician Assistant | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Conrad L Brimhall | Dermatology | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Charles S Fulk | Dermatology | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Ann E Ayres | Physician Assistant | Lakeway Dermatology Associates PC | 112 W Broadway Blvd, Jefferson City, TN 37760-1942 |
| Richard Jeffrey Munson | Psychologist, Clinical | 104 W Old Andrew Johnson Hwy, Suite B, Jefferson City, TN 37760-1949 | |
| William J Williams | Internal Medicine | 1526 Meadow Spring Dr, Jefferson City, TN 37760-2041 | |
| Robert A Matijevich | Physical Therapy | 1405 S Sizer Ave, B, Jefferson City, TN 37760-2436 | |
| Dennis U Spjut | Psychologist, Clinical | 732 E Jefferson St, Jefferson City, TN 37760-2514 | |
| Margaret A Frazier | Chiropractic | 1414 Russell Ave, Jefferson City, TN 37760-2571 | |
| Find all physicians in zip 37760 | |||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JEFFERSON CITY + 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.