| Crystal Lashawn Ealy, NP | |
| 
					13540 E Boundary Rd, Midlothian, VA 23112-3943  | |
| (804) 605-0183 | |
| Not Available | 
| Full Name | Crystal Lashawn Ealy | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 13540 E Boundary Rd, Midlothian, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538631932 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024177285 (Virginia) | Primary | 
| Entity Name | Vernon J Harris East End Community Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295707966 PECOS PAC ID: 9638064850 Enrollment ID: O20040217000877  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crystal Lashawn Ealy, NP 3020 Heather Ridge Dr, Henrico, VA 23231-8939 Ph: (804) 605-0183  | Crystal Lashawn Ealy, NP 13540 E Boundary Rd, Midlothian, VA 23112-3943 Ph: (804) 605-0183  | 
Jonathan Fielder, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Fox Chase Ln, Midlothian, VA 23112 Phone: 804-303-9622 Fax: 804-716-4318  | |
Rehana Sultana Kazi Glod, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114 Phone: 804-325-8851  | |
Ms. Laurie Powell Burke, R.N., N.P., C.S. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13506 East Boundary Road, Suite A, Midlothian, VA 23112 Phone: 804-744-6714 Fax: 804-744-1265  | |
Mrs. Amanda Kearse Miller, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774  | |
Kaitlin J Delgado, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13572 Waterford Place, Midlothian, VA 23112 Phone: 804-560-8782 Fax: 804-525-2525  | |
Ann Madeleine Wilson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5955 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-744-4495  | |
Jennifer Meagan Franks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Browns Way Rd, Midlothian, VA 23114 Phone: 804-419-9101  |