Allison Noel Lee, NP | |
1037 Daniel Rd, Blackstone, VA 23824-3548 | |
(540) 931-6576 | |
Not Available |
Full Name | Allison Noel Lee |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1037 Daniel Rd, Blackstone, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568187581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024185455 (Virginia) | Primary |
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
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Allison Noel Lee, NP 1037 Daniel Rd, Blackstone, VA 23824-3548 Ph: (540) 931-6576 | Allison Noel Lee, NP 1037 Daniel Rd, Blackstone, VA 23824-3548 Ph: (540) 931-6576 |
Miss Gabrielle Tiarra Qahhar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Kemper Ave, Blackstone, VA 23824 Phone: 757-310-3925 Fax: 949-863-5677 | |
Christy T Johnson-oliver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 N Main St, Blackstone, VA 23824 Phone: 434-292-7261 Fax: 434-292-7965 | |
Shantel Latta, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 E Broad St, Blackstone, VA 23824 Phone: 434-264-3221 |