Diamond Nowell, | |
128 E Broad St, Saint Pauls, NC 28384-1610 | |
(910) 241-3042 | |
(910) 241-3462 |
Full Name | Diamond Nowell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 128 E Broad St, Saint Pauls, 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 |
---|---|---|---|
1023872751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 5021246 (North Carolina) | Primary |
Entity Name | Robeson Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750348538 PECOS PAC ID: 1850290693 Enrollment ID: O20031231000292 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
Mailing Address | Practice Location Address |
---|---|
Diamond Nowell, 60 Commerce Plaza Cir, Pembroke, NC 28372-7386 Ph: (910) 521-2900 | Diamond Nowell, 128 E Broad St, Saint Pauls, NC 28384-1610 Ph: (910) 241-3042 |
Lauren Thompson Meadows, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 678 Great Marsh Church Rd, Saint Pauls, NC 28384 Phone: 910-633-2674 | |
Mrs. Marquilla Avila-galeana, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 W Broad St, Saint Pauls, NC 28384 Phone: 910-241-3078 Fax: 910-241-3412 |