Christy T Johnson-oliver, NP | |
213 N Main St, Blackstone, VA 23824-1425 | |
(434) 292-7261 | |
(434) 292-7965 |
Full Name | Christy T Johnson-oliver |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 213 N Main St, 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 |
---|---|---|---|
1609386465 | NPI | - | NPPES |
C09633 | Other | VA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 0024175489 (Virginia) | Primary |
Entity Name | Crewe Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316120892 PECOS PAC ID: 6901977883 Enrollment ID: O20080620000021 |
Mailing Address | Practice Location Address |
---|---|
Christy T Johnson-oliver, NP 7229 Forest Ave Ste 112, Richmond, VA 23226-3765 Ph: (804) 281-0275 | Christy T Johnson-oliver, NP 213 N Main St, Blackstone, VA 23824-1425 Ph: (434) 292-7261 |
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 | |
Allison Noel Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1037 Daniel Rd, Blackstone, VA 23824 Phone: 540-931-6576 | |
Shantel Latta, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 E Broad St, Blackstone, VA 23824 Phone: 434-264-3221 |