Jean Malong Tessneer (NPI# 1720492150, PAC ID# 0648498246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720492150 |
| PAC ID by PECOS | 0648498246 |
| Professional Enrollment ID | I20140822001846 |
| Full Name | Jean Malong Tessneer |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Address |
301 Linville St Glen Alpine NC 26628 |
| Phone Number | 8285842481 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436159712 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340075 | CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE |
| Address | Phone | Organization |
|---|---|---|
| 301 Linville St, Glen Alpine, NC 26628 | 8285842481 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 695 W Fleming Dr, Morganton, NC 28655-4450 | 8285803278 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Minai Movaghar | Geriatric Medicine | Blue Ridge Healthcare Medical Group Inc | 111 Foothills Dr, Suite B, Morganton, NC 28655-5123 |
| Gregory J Antal | Physical Therapy | Blue Ridge Healthcare Medical Group Inc | 348 Grace Corpening Dr, Marion, NC 28752-5864 |
| Barbara A Nagy | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 2659 Us 70, Valdese, NC 28690-9517 |
| Lisa T Mangum | Nurse Practitioner | Blue Ridge Healthcare Medical Group Inc | 111 B Foothills Dr, Morganton, NC 28655-5123 |
| Matthew T Mishoe | Gastroenterology | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 200, Morganton, NC 28655-4091 |
| Emily C Diggs | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Cir Nw, Hickory, NC 28601-7357 |
| Galen M Edwards | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 695 W Fleming Dr, Morganton, NC 28655-4450 |
| Lauren O Lippard | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 109 Foothills Dr, Morganton, NC 28655-5152 |
| Carolyn Vance Gordon | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 117 Foothills Dr, Morganton, NC 28655-5152 |
| Jill N Konkol | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 1766 Connelly Springs Rd, Lenoir, NC 28645-7827 |
| Street Address |
301 LINVILLE ST |
| City | GLEN ALPINE |
| State | NC |
| Zip | 26628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael M Stephanides | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 301 Linville St, Morganton, NC 28655-7206 |
| Kreig A Spahn | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 301 Linville St, Morganton, NC 28655-7206 |
| Deanna L Scherock-wright | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 301 Linville St, Morganton, NC 28655-7206 |
| Roger R Hill | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 301 Linville St, Morganton, NC 28655-7206 |
| Gandhari Loomis | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 301 Linville St, Morganton, NC 28655-7206 |
| Clay W Richardson | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 301 Linville St, Morganton, NC 28655-7206 |
| City | GLEN ALPINE |
| Zip Code | 26628 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN ALPINE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jean Malong Tessneer.
| 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.