Kelsa Temple (NPI# 1689027492, PAC ID# 8729368345) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689027492 |
| PAC ID by PECOS | 8729368345 |
| Professional Enrollment ID | I20161216000710 |
| Full Name | Kelsa Temple |
| Organization Legal Name | FAMILY HEALTH CARE CLINIC INC |
| Address |
150 J E Johnson Rd Prentiss MS 39474-3101 |
| Phone Number | 6018257280 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395656946 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251326 | JEFFERSON DAVIS GENERAL HOSPITAL |
| 250124 | MAGEE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 J E Johnson Rd, Prentiss, MS 39474-3101 | 6018257280 | FAMILY HEALTH CARE CLINIC INC |
| 910 2nd St, Prentiss, MS 39474-9117 | 6018257280 | FAMILY HEALTH CARE CLINIC INC |
| Organization Legal Name | FAMILY HEALTH CARE CLINIC INC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Richardson | Obstetrics/gynecology | Family Health Care Clinic Inc | 438 Katherine Dr, Flowood, MS 39232-8803 |
| Lisa Weinmann Steele | Nurse Practitioner | Family Health Care Clinic Inc | 102 Physicians Dr B, Muscle Shoals, AL 35661-2100 |
| Jenny M Taylor | Nurse Practitioner | Family Health Care Clinic Inc | 123 N Front St, Winona, MS 38967-2239 |
| Lindsey E Smith | Nurse Practitioner | Family Health Care Clinic Inc | 125 Carter Dr, Calhoun City, MS 38916-7028 |
| Constance M Bradford | Nurse Practitioner | Family Health Care Clinic Inc | 202 Jefferson St, Newhebron, MS 39140-3809 |
| Valerie White | Nurse Practitioner | Family Health Care Clinic Inc | 4635 Hwy 80 E, Pearl, MS 39208-4226 |
| Teresa Q Conerly | Nurse Practitioner | Family Health Care Clinic Inc | 430 W Broad St, Monticello, MS 39654-7723 |
| Blanche Bell | Nurse Practitioner | Family Health Care Clinic Inc | 1495 Us Hwy 61 S, Woodville, MS 39669-3577 |
| Marleah Mcanalley | Nurse Practitioner | Family Health Care Clinic Inc | 1304 13th Seave A, Decatur, AL 35601-4316 |
| Joe Ward | General Practice | Family Health Care Clinic Inc | 290 Us Hwy 51 N, Brookhaven, MS 39601-2654 |
| Street Address |
150 J E JOHNSON RD |
| City | PRENTISS |
| State | MS |
| Zip | 39474-3101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan L Underwood | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Daniel G Stevens | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Herbert Floyd | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Arthur A Levy | Emergency Medicine | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Earl L Mahaffey | General Practice | Keystone Hospitalist Services of Ms Inc | 1102 Rose St, Prentiss, MS 39474-5200 |
| Michele B Mahaffey | Nurse Practitioner | Forrest County General Hospital | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 |
| Rasheeda C Hall | Family Practice | Forrest County General Hospital | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 |
| Jaishankar Jagadeesan | Internal Medicine | 972 Columbia Ave, Prentiss, MS 39474-5405 |
| City | PRENTISS |
| Zip Code | 39474 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRENTISS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelsa Temple.
| 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.