MEDICARE: MRS. ANDREA SUSANNE ABBOTT FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	17728	TN

General Provider Information

NPI Number	:	1588003842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA SUSANNE ABBOTT FNP-C

Provider Business Mailing Address
First Line	:	178 SCHOOLS DR
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-3026
Country	:	US
Telephone Number	:	731-584-3181
Fax Number	:	731-584-2345

Provider Business Practice Location Address
First Line	:	100 CHESTERFIELD BUSINESS PKWY FL 2
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1271
Country	:	US
Telephone Number	:	831-218-6882
Fax Number	:	731-584-2345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	06/21/2023

Similar Medicare Providers

1578300687 — MOMBA HOME CARE MISSOURI, LLC
Practice Location Address:

100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO
63005-1271

Practice Phone: 314-237-3633
Practice Fax:

1063538676 — DR. DUSTIN GARTH JAMES MD
Practice Location Address:

100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO
63005-1271

Practice Phone: 636-532-0990
Practice Fax: 636-532-0993

1477741239 — CHESTERFIELD VALLEY DERMATOLOGY PC
Practice Location Address:

100 CHESTERFIELD BUSINESS PKWY , SUITE 110
CHESTERFIELD, MO
63005-1271

Practice Phone: 636-532-0990
Practice Fax: 636-532-0993

1770772725 — GREGORY S KRIVONYAK M.D.
Practice Location Address:

100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO
63005-1271

Practice Phone: 954-399-4673
Practice Fax: 352-323-2261

1104119916 — CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
Practice Location Address:

100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO
63005-1271

Practice Phone: 636-532-0990
Practice Fax: 636-532-0993

1770829608 — HOPE HEALTHCARE, LLC
Practice Location Address:

100 CHESTERFIELD BUSINESS PKWY
CHESTERFIELD, MO
63005-1271

Practice Phone: 314-435-8424
Practice Fax:

Directions to “ MRS. ANDREA SUSANNE ABBOTT FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.