| Nakisha Easley, FNP | |
|
1129 N Main St Ste H, South Boston, VA 24592-2547 | |
| (434) 517-6180 | |
| (434) 517-6179 |
| Full Name | Nakisha Easley |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1129 N Main St Ste H, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679267546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0024186791 (Virginia) | Primary |
| Entity Name | Halifax Internal Medicine, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801030119 PECOS PAC ID: 4284784315 Enrollment ID: O20090611000619 |
| Entity Name | Halifax Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164285185 PECOS PAC ID: 4587003793 Enrollment ID: O20240422000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Nakisha Easley, FNP 1129 N Main St Ste H, South Boston, VA 24592-2547 Ph: (434) 517-6180 | Nakisha Easley, FNP 1129 N Main St Ste H, South Boston, VA 24592-2547 Ph: (434) 517-6180 |
Gahear F Hamlor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989 | |
Fallon Andrea Mattis, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 101 Aubreys Loop, Sentara Halifax Family Medicine, South Boston, VA 24592 Phone: 646-835-9001 Fax: 646-835-9001 | |
Virgilus Ozoude, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989 |