| Justin Kyle Richardson, FNP | |
|
522 Allen St., Suite 103, Troy, NC 27371-2861 | |
| (910) 571-5372 | |
| (910) 571-5373 |
| Full Name | Justin Kyle Richardson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 522 Allen St., Troy, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497435663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5018504 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln Community Health Center Incorporated | 4587642590 | 50 |
| Mcpc-6 Llc | 5294990123 | 6 |
| Entity Name | Lincoln Community Health Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114978582 PECOS PAC ID: 4587642590 Enrollment ID: O20040707001353 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Kyle Richardson, FNP 1301 Fayetteville St, Durham, NC 27707-2398 Ph: (919) 956-4000 | Justin Kyle Richardson, FNP 522 Allen St., Suite 103, Troy, NC 27371-2861 Ph: (910) 571-5372 |
Julie Taylor Coggins, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 835 Albemarle Rd, Troy, NC 27371 Phone: 910-572-2309 Fax: 910-572-3655 | |
Nancy Alice Ruppert, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 S Main St, Troy, NC 27371 Phone: 910-572-1393 Fax: 910-572-8177 | |
Taressa Ailene Stanton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 Allen St Ste 101, Troy, NC 27371 Phone: 910-571-5510 Fax: 910-571-5772 | |
Paula Marie Price, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 507 N Main St, Troy, NC 27371 Phone: 910-576-0042 |