Jessica L Fultz, NP | |
801 Davis St, Blacksburg, VA 24060-7008 | |
(540) 961-0218 | |
Not Available |
Full Name | Jessica L Fultz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 801 Davis St, Blacksburg, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114445897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 0024175078 (Virginia) | Secondary |
363L00000X | Nurse Practitioner | 0024175078 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lewis Gale Physicians Llc | 6507886231 | 187 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Lewis Gale Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
Mailing Address | Practice Location Address |
---|---|
Jessica L Fultz, NP 2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4525 Ph: (615) 373-7600 | Jessica L Fultz, NP 801 Davis St, Blacksburg, VA 24060-7008 Ph: (540) 961-0218 |
Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Research Center Dr # A, Blacksburg, VA 24060 Phone: 540-381-5291 | |
Theresa Ann Buchanan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Charles W Schiffert Health Ctr, Mccomas Hall, Blacksburg, VA 24061 Phone: 540-231-5313 Fax: 540-231-7473 | |
Mrs. Kristie Lynn Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 South Main Street, Blacksburg, VA 24060 Phone: 540-953-5385 | |
Susan I Gaither, RNCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3708 S Main St, Blacksburg, VA 24060 Phone: 540-951-3376 Fax: 540-951-1276 | |
Amanda Mitchell Hale, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 829 Davis St, Blacksburg, VA 24060 Phone: 540-443-3940 | |
Christina Rice, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 Sheffield Dr, Blacksburg, VA 24060 Phone: 540-953-2210 Fax: 540-951-9112 |