Jessica Duty, | |
111 Fashion Rd Ste D, Pounding Mill, VA 24637-1200 | |
(276) 596-6375 | |
Not Available |
Full Name | Jessica Duty |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 111 Fashion Rd Ste D, Pounding Mill, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699448837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024180760 (Virginia) | Primary |
Entity Name | Clinch Professional Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609994284 PECOS PAC ID: 9436259223 Enrollment ID: O20070709000505 |
Mailing Address | Practice Location Address |
---|---|
Jessica Duty, 388 Ben Bolt Ave, Tazewell, VA 24651-5386 Ph: () - | Jessica Duty, 111 Fashion Rd Ste D, Pounding Mill, VA 24637-1200 Ph: (276) 596-6375 |
Susan Leigh Horne, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Short St Ste 1, Pounding Mill, VA 24637 Phone: 540-202-2554 | |
Mark Mullins, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13401 Governor G C Peery Hwy, Pounding Mill, VA 24637 Phone: 276-385-1183 Fax: 276-345-9448 | |
Charity Grace Lester, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13401 Governor G. C. Peery Hwy, Pounding Mill, VA 24637 Phone: 276-385-1183 | |
Beverly Christine Young, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Short St Ste 1, Pounding Mill, VA 24637 Phone: 276-708-7541 | |
Barbara Virginia Elam, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 381 Pond St, Pounding Mill, VA 24637 Phone: 276-701-5630 | |
Amy Lynn Burks, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637 Phone: 276-385-1183 |