| Allison Noel Lee, NP | |
|
1037 Daniel Rd, Blackstone, VA 23824-3548 | |
| (540) 931-6576 | |
| Not Available |
| Full Name | Allison Noel Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1037 Daniel Rd, Blackstone, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568187581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024185455 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Noel Lee, NP 1037 Daniel Rd, Blackstone, VA 23824-3548 Ph: (540) 931-6576 | Allison Noel Lee, NP 1037 Daniel Rd, Blackstone, VA 23824-3548 Ph: (540) 931-6576 |
Miss Gabrielle Tiarra Qahhar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Kemper Ave, Blackstone, VA 23824 Phone: 757-310-3925 Fax: 949-863-5677 | |
Althea Falleiro Mattos, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 Tavern St, Blackstone, VA 23824 Phone: 434-480-5361 | |
Christy T Johnson-oliver, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 N Main St, Blackstone, VA 23824 Phone: 434-292-7261 Fax: 434-292-7965 | |
Shantel Latta, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 E Broad St, Blackstone, VA 23824 Phone: 434-264-3221 |