Stacy Davis, FNP | |
200 E 5th St, Chase City, VA 23924-1456 | |
(434) 372-0900 | |
Not Available |
Full Name | Stacy Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 E 5th St, Chase City, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578029609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024176592 (Virginia) | Primary |
Entity Name | Cmh Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
Mailing Address | Practice Location Address |
---|---|
Stacy Davis, FNP 200 E 5th St, Chase City, VA 23924-1456 Ph: (434) 372-0900 | Stacy Davis, FNP 200 E 5th St, Chase City, VA 23924-1456 Ph: (434) 372-0900 |
Mary Rose Jayme, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E 5th St, Chase City, VA 23924 Phone: 434-372-0900 Fax: 434-363-4258 | |
Keysha D. Ahmad-winborne, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 946 N Main St, Chase City, VA 23924 Phone: 434-372-5141 Fax: 434-372-8910 | |
Miranda Fields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5539 Va-47, Chase City, VA 23924 Phone: 434-372-8885 |