Lisa Speede Mcclure, | |
143 Industrial Pkwy, Clarksville, VA 23927-3140 | |
(434) 572-6916 | |
Not Available |
Full Name | Lisa Speede Mcclure |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 143 Industrial Pkwy, Clarksville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124715396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186346 (Virginia) | Primary |
Entity Name | Southside Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612 |
Mailing Address | Practice Location Address |
---|---|
Lisa Speede Mcclure, 257 Triple C Dr, Clarksville, VA 23927-2560 Ph: (434) 774-5743 | Lisa Speede Mcclure, 143 Industrial Pkwy, Clarksville, VA 23927-3140 Ph: (434) 572-6916 |
Colton Ryan Thames, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 | |
Thelma Jane Pealer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Clarksville Health And Rehab Center, 184 Buffalo Rd, Clarksville, VA 23927 Phone: 434-206-3100 Fax: 434-374-4491 | |
Vivia Brogden Whitfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 Fax: 434-374-4814 | |
Jessica Ruff, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 Fax: 434-374-4814 |