MISS REBECCA LILLIAN LONG


Address: 629 Nuckolls Rd, Bolivar, TN 38008-1599
Phone: 7316583388

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21678 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers REBECCA LONG

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

Office Location

Street Address 629 NUCKOLLS RD
City BOLIVAR
State TN
Zip Code 38008-1599

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City BOLIVAR
Zip Code 38008

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Dataset Information

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.

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