Viola Elizabeth Blackwell, FNP-C | |
5 Town Center, Whiteville, NC 28472 | |
(910) 212-6613 | |
Not Available |
Full Name | Viola Elizabeth Blackwell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5 Town Center, Whiteville, 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 |
---|---|---|---|
1538858246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5018120 (North Carolina) | Primary |
363L00000X | Nurse Practitioner | FLET-65ZX4 (North Carolina) | Secondary |
Entity Name | Goshen Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Mailing Address | Practice Location Address |
---|---|
Viola Elizabeth Blackwell, FNP-C 156 Kristi Ln, Cerro Gordo, NC 28430-4000 Ph: (910) 874-0261 | Viola Elizabeth Blackwell, FNP-C 5 Town Center, Whiteville, NC 28472 Ph: (910) 212-6613 |
Brandy Watts Matheson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Jefferson St, Whiteville, NC 28472 Phone: 910-642-5832 | |
Linda Ray Jordan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Jefferson St, Whiteville, NC 28472 Phone: 910-642-3294 | |
Mrs. Patricia Louise Deskin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Mcneill Plz, Whiteville, NC 28472 Phone: 910-263-2306 | |
Stephanie Tyner Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Jefferson St, Whiteville, NC 28472 Phone: 910-640-6615 Fax: 910-640-1088 | |
Rachel Tedesco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Mcneill Plz, Whiteville, NC 28472 Phone: 910-641-4095 Fax: 910-641-4097 | |
Marie Graham Campbell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 Jefferson St, Whiteville, NC 28472 Phone: 910-642-0331 | |
Peggy Newman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 Jefferson St, Whiteville, NC 28472 Phone: 910-642-0331 |