Dallas M Earnest
FAMILY FIRST CLINIC OF CLARKSDALE PLLC


Address: 1015 Lee Dr, Suite 13, Clarksdale, MS 38614-3619
Phone: 6625924170

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250042 NORTHWEST MISSISSIPPI MEDICAL CENTER

Other Locations

Address Phone Organization
1015 Lee Dr, Suite 13, Clarksdale, MS 38614-3619 6625924170 FAMILY FIRST CLINIC OF CLARKSDALE PLLC

Organization Information

Organization Legal Name FAMILY FIRST CLINIC OF CLARKSDALE PLLC
Physicians 1

Office Location

Street Address 1015 LEE DR
SUITE 13
City CLARKSDALE
State MS
Zip 38614-3619

Physicians in the same zip code

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
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Competitor

Search similar physicians

City CLARKSDALE
Zip Code 38614
Specialty NURSE PRACTITIONER
City + Specialty CLARKSDALE + NURSE PRACTITIONER

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Dataset Information

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.

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