Dallas M Earnest (NPI# 1376752832, PAC ID# 4789753252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1376752832 |
PAC ID by PECOS | 4789753252 |
Professional Enrollment ID | I20110119000394 |
Full Name | Dallas M Earnest |
Organization Legal Name | FAMILY FIRST CLINIC OF CLARKSDALE PLLC |
Address |
1015 Lee Dr Suite 13 Clarksdale MS 38614-3619 |
Phone Number | 6625924170 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6800054297 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250042 | NORTHWEST MISSISSIPPI MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1015 Lee Dr, Suite 13, Clarksdale, MS 38614-3619 | 6625924170 | FAMILY FIRST CLINIC OF CLARKSDALE PLLC |
Organization Legal Name | FAMILY FIRST CLINIC OF CLARKSDALE PLLC |
Physicians | 1 |
Street Address |
1015 LEE DR SUITE 13 |
City | CLARKSDALE |
State | MS |
Zip | 38614-3619 |
Name | Specialty | Organization | Address |
---|---|---|---|
Huong Dien Pham | Obstetrics/gynecology | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Charles David Cesare | Obstetrics/gynecology | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Kimberly T Fava | Nurse Practitioner | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Teresa Victoria White Powell | Nurse Practitioner | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Erica R Balthrop | Obstetrics/gynecology | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Delphia M Hord | Obstetrics/gynecology | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Kushna Damallie | Obstetrics/gynecology | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Angelia Cleark Mcdowell | Nurse Practitioner | Womans Clinic, A Professional Association | 2000 N State St, The Womans Clinic Pa, Clarksdale, MS 38614-0340 |
Pamela K Wilson | Nurse Practitioner | Womans Clinic, A Professional Association | 2000 N State St, Clarksdale, MS 38614-0340 |
Kyong Ran Han | Clinical Psychologist | Brighter Day Health LLC | 122 Crestline Dr, Apt 1302, Clarksdale, MS 38614-1940 |
Find all physicians in zip 38614 |
City | CLARKSDALE |
Zip Code | 38614 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CLARKSDALE + 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.