Mrs Kenna Noel Blankenship, FNP-C | |
4830 Rucker Rd, Moneta, VA 24121-5281 | |
(540) 297-7181 | |
Not Available |
Full Name | Mrs Kenna Noel Blankenship |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4830 Rucker Rd, Moneta, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265179311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024184341 (Virginia) | Primary |
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kenna Noel Blankenship, FNP-C 4830 Rucker Rd, Moneta, VA 24121-5281 Ph: (540) 309-0442 | Mrs Kenna Noel Blankenship, FNP-C 4830 Rucker Rd, Moneta, VA 24121-5281 Ph: (540) 297-7181 |
Patricia H Hayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4830 Rucker Rd, Village Family Physicians, Inc., Moneta, VA 24121 Phone: 540-297-7181 Fax: 540-297-6145 | |
Robert N Cox, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Dogwood Acre Rd, Moneta, VA 24121 Phone: 540-353-1598 | |
Ms. Carey Ann Cole, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4830 Rucker Rd, Moneta, VA 24121 Phone: 540-297-7181 | |
Lora Nissen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4830 Rucker Rd, Moneta, VA 24121 Phone: 540-297-7181 |