| Grace Henry, | |
|
2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | |
| (540) 853-0100 | |
| Not Available |
| Full Name | Grace Henry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598416059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0024190570 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Henry, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: Not Available | Grace Henry, 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 Ph: (540) 853-0100 |
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 |
Dr. Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Campbell Ave Sw, Roanoke, VA 24016 Phone: 540-400-7431 |
Jessica Hallam, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-982-8201 Fax: 540-224-1059 |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Electric Rd Ste D, Roanoke, VA 24018 Phone: 540-200-8329 |
Julie Anne Snyder Amoroso, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-985-8505 Fax: 540-344-3313 |
Ashlyn Brooke Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 |
Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000 |