Kelly Leslie, APRN-FNP-C | |
925 Village Hwy, Rustburg, VA 24588-4591 | |
(434) 929-1400 | |
Not Available |
Full Name | Kelly Leslie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 925 Village Hwy, Rustburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447896147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP201331 (Maine) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024182771 (Virginia) | Primary |
Entity Name | Eastport Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093752917 PECOS PAC ID: 3577592880 Enrollment ID: O20050808000284 |
Entity Name | Healthreach Community Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851364632 PECOS PAC ID: 5496726523 Enrollment ID: O20050830000523 |
Mailing Address | Practice Location Address |
---|---|
Kelly Leslie, APRN-FNP-C 134 Elon Rd, Madison Heights, VA 24572-2536 Ph: (344) 929-1400 | Kelly Leslie, APRN-FNP-C 925 Village Hwy, Rustburg, VA 24588-4591 Ph: (434) 929-1400 |
Jennifer Castle, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Ruth Patterson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Tamara Tinnin, DNP APRN CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 | |
Kenneth Swanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-332-7367 Fax: 434-332-1757 | |
Mrs. Angela Faye Martin, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-455-2480 |