| Across The Lifespan | |
|
293 Main St Yanceyville NC 27379-8781 | |
| (336) 504-6808 | |
| Not Available |
| Full Name | Across The Lifespan |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 293 Main St, Yanceyville, North Carolina |
| Authorized Official Name and Position | Tanillya Wilkerson Partridge (PRESIDENT) |
| Authorized Official Contact | 3366941924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Across The Lifespan Po Box 3058 Roxboro NC 27573-3058 Ph: (336) 504-6808 | Across The Lifespan 293 Main St Yanceyville NC 27379-8781 Ph: (336) 504-6808 |
| NPI Number | 1558759712 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Medicare PECOS PAC ID | 2860706892 |
|---|---|
| Medicare Enrollment ID | O20150804004013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558759712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5006150 (North Carolina) | Primary |
| Provider Name | Tanillya Wilkerson Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645550 PECOS PAC ID: 9436386257 Enrollment ID: I20131223001663 |
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Alpha-g Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St Ste 417, Yanceyville, NC 27379 Phone: 336-420-4992 | |
Area Services And Programs Ince. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Wall St, Yanceyville, NC 27379 Phone: 336-694-4333 Fax: 336-694-7325 |