Mr James Bryan Lake, FNP-C | |
701 Doctors Dr Ste N, Kinston, NC 28501-1584 | |
(252) 559-2200 | |
(252) 523-7642 |
Full Name | Mr James Bryan Lake |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 701 Doctors Dr Ste N, Kinston, 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 |
---|---|---|---|
1124704796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | LAKE-2S9JB (North Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | LAKE-2S9JB (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 |
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Mr James Bryan Lake, FNP-C 1016 Sedbrook Ln, Winterville, NC 28590-6008 Ph: (252) 916-4443 | Mr James Bryan Lake, FNP-C 701 Doctors Dr Ste N, Kinston, NC 28501-1584 Ph: (252) 559-2200 |
Jamie Jones Avery, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 313 Airport Rd, Kinston, NC 28504 Phone: 252-559-2201 | |
Sabrina Lasseter, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 608 Airport Rd, Kinston, NC 28504 Phone: 252-523-8513 | |
Shemica Nicole Baker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Doctors Dr Ste E2, Kinston, NC 28501 Phone: 252-775-5940 Fax: 252-208-1177 | |
Keiva Sumner Sandlin, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Airport Rd Fl 5, Kinston, NC 28501 Phone: 252-775-5920 | |
Claire Eloshway, MSN APRN AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Doctors Dr Ste A, Kinston, NC 28501 Phone: 252-775-5999 Fax: 252-208-1647 | |
Kerry Timmins Standley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Presbyterian Ln, Kinston, NC 28501 Phone: 252-208-7784 Fax: 919-580-7010 |