| Affinity Health Care, Llc | |
|
95 Magnolia Dr Newport News VA 23605-1135 | |
| (757) 869-5075 | |
| Not Available |
| Full Name | Affinity Health Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 95 Magnolia Dr, Newport News, Virginia |
| Authorized Official Name and Position | Frances H. Hicks (NURSE PRACTITIONER) |
| Authorized Official Contact | 7578695075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Health Care, Llc 95 Magnolia Dr Newport News VA 23605-1135 Ph: (757) 869-5075 | Affinity Health Care, Llc 95 Magnolia Dr Newport News VA 23605-1135 Ph: (757) 869-5075 |
| NPI Number | 1801267000 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Medicare PECOS PAC ID | 2860797206 |
|---|---|
| Medicare Enrollment ID | O20160224000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801267000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Frances H Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942593892 PECOS PAC ID: 5991974644 Enrollment ID: I20110815000110 |
| Provider Name | Nina L Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245523638 PECOS PAC ID: 6901036607 Enrollment ID: I20140225000903 |
| Provider Name | Geranameo Vladmire Bullock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275821340 PECOS PAC ID: 8022258920 Enrollment ID: I20160301002216 |
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