Mr Clayten Lee Parker, FNP | |
944 Van Gert Dr, Winterville, NC 28590-7914 | |
(252) 714-6201 | |
Not Available |
Full Name | Mr Clayten Lee Parker |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 944 Van Gert Dr, Winterville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427368232 | NPI | - | NPPES |
1427368232 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 177054 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Mr Clayten Lee Parker, FNP 944 Van Gert Dr, Winterville, NC 28590-7914 Ph: (252) 714-6201 | Mr Clayten Lee Parker, FNP 944 Van Gert Dr, Winterville, NC 28590-7914 Ph: (252) 714-6201 |
Rosa Credle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 468 Channel Dr, Winterville, NC 28590 Phone: 252-258-7544 | |
Tina Darsha Spencer, MSN NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3357 White Blossom Dr, Winterville, NC 28590 Phone: 252-746-4143 | |
Nadiah Mahmoud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 324a Beacon Dr, Winterville, NC 28590 Phone: 252-551-5595 Fax: 252-324-7762 | |
Karen Leigh Logan, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 Fox Chase Ln, Winterville, NC 28590 Phone: 434-660-2887 | |
Dr. Jamie Leigh Rogers, PHD, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610a Old Tar Village Rd, Winterville, NC 28590 Phone: 252-364-8972 | |
Loren Simone Watts, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4796 Old Tar Rd, Winterville, NC 28590 Phone: 252-353-4111 |