MISS REBECCA LILLIAN LONG (NPI# 1366984239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366984239 |
Entity Type | Individual |
Full Name | MISS REBECCA LILLIAN LONG |
Credential | NP-C, CNM |
Practice Address |
629 Nuckolls Rd Bolivar TN 38008-1599 |
Practice Telephone | 7316583388 |
Enumeration Date | 2016-11-09 |
Last Update Date | 2016-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21678 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518575000 | Rebecca Christine Long | Nurse Practitioner | 3377 Nw 26th Ave, Boca Raton, FL 33434-3419 | 2020-07-21 |
1205248325 | Rebecca Long | Specialist | 7420 Brock Rd, Spotsylvania, VA 22553-2002 | 2014-05-22 |
1487070033 | Rebecca Marie Long | Registered Nurse | 23915 Rd H.5 Nw, Ephrata, WA 98823 | 2014-03-06 |
1871648428 | Rebecca Danielle Long | Massage Therapist | 800-164th St Se, Suite N, Mill Creek, WA 98012 | 2007-01-24 |
1699794610 | Rebecca Ann Long | Psychologist | 258 Lopes Cir, Franklin, NC 28734-3527 | 2006-07-19 |
1760482657 | Rebecca Rich Long | Family Medicine | 107 S Sporting Hill Rd, Mechanicsburg, PA 17050-3058 | 2005-07-21 |
1447256847 | Rebecca B Long | Nurse Practitioner | 3301 Sw 34th Cir, Suite 101, Ocala, FL 34474-6621 | 2005-06-22 |
1710529987 | Rebecca Dawn Long | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2019-10-09 |
1811558885 | Rebecca Dianne Long | Counselor | 501 Oak St, Boone, NC 28607-5809 | 2019-06-21 |
1053888693 | Rebecca Long | Counselor | 113 Metlakatla St, Sitka, AK 99835-7666 | 2018-11-01 |
Street Address |
629 NUCKOLLS RD |
City | BOLIVAR |
State | TN |
Zip Code | 38008-1599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
1578101499 | Merry Anna Snider | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2019-12-11 |
1003381815 | Rebekah Kathleen Rossetta | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2018-10-08 |
1851828677 | Deborah Dillard | Registered Nurse | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2017-05-11 |
1336688043 | Eric Alan Folk | Pharmacist | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2017-02-14 |
1558721233 | Hardeman County Community Health Center | Pharmacist | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2016-02-24 |
1871966499 | Hcchc Pharmacy | Pharmacy | 629 Nuckolls Rd, Suite A, Bolivar, TN 38008-1599 | 2015-11-04 |
1427296276 | Samuel Terry Johnson Jr. | Family Medicine | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2009-02-02 |
1568508448 | Olufemi E Soyinka | Family Medicine | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2007-01-29 |
1033205877 | Jeannie A Ferri | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2006-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
1700288024 | Elizabeth Gault Ligon | Optometrist | 725 W Market St, Bolivar, TN 38008 | 2014-09-17 |
Find all providers in zip 38008 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457803363 | Brandy Yarnell | Nurse Practitioner | 2520 S Springfield Ave, Bolivar, MO 65613-9691 | 2016-10-26 |
1144636119 | Gregary Byers | Nurse Practitioner | 107 Tennessee St, Bolivar, TN 38008-1822 | 2014-07-10 |
1780908228 | Miracle Healthcare LLC | Nurse Practitioner | 649b W Mcneal St, Bolivar, TN 38008-2519 | 2010-03-25 |
1538273396 | Marceleen K. Powell | Nurse Practitioner | 1120 S Springfield Ave, Bolivar, MO 65613-2512 | 2006-08-18 |
1023066057 | Tammi L Ferguson | Nurse Practitioner | 1700 W Market St, Suite J, Bolivar, TN 38008-1653 | 2006-05-04 |
1083679104 | Oma L Shelton | Nurse Practitioner | 2230 S Springfield Ave, Suite H-j, Bolivar, MO 65613-9133 | 2006-04-20 |
1750999231 | Bethany Martin | Nurse Practitioner | 1501 N Oakland Ave, Bolivar, MO 65613-3020 | 2020-07-21 |
1104474741 | Kaylee Jaynelle Ankrom | Nurse Practitioner | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2019-08-27 |
1164074175 | Courtney Marie Brummel | Nurse Practitioner | 1120 S Springfield Ave, Bolivar, MO 65613-2512 | 2019-07-10 |
1194211664 | Olivia Jenae Cumley | Nurse Practitioner | 1240 N Butterfield Rd, Bolivar, MO 65613-3016 | 2018-07-07 |
Find all providers in BOLIVAR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.