| Leslie A Davis, APRN | |
|
5607 Dickenson Hwy, Clintwood, VA 24228 | |
| (276) 926-4601 | |
| (276) 926-4602 |
| Full Name | Leslie A Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5607 Dickenson Hwy, Clintwood, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720355977 | NPI | - | NPPES |
| 1720355977 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3007214 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 0024169761 (Virginia) | Secondary |
| Entity Name | Dickenson Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033153879 PECOS PAC ID: 0840202362 Enrollment ID: O20060628000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A Davis, APRN 5607 Dickenson Hwy, Clintwood, VA 24228-7099 Ph: (276) 926-4601 | Leslie A Davis, APRN 5607 Dickenson Hwy, Clintwood, VA 24228 Ph: (276) 926-4601 |
Janice Payne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 Hospital Drive, Clintwood, VA 24226 Phone: 276-926-0200 | |
Mrs. Christy Jolene Lambert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Hospital Dr, Clintwood, VA 24228 Phone: 276-926-0300 | |
Loleatta B. Linkous, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 557 Clintwood Main St., Clintwood, VA 24228 Phone: 276-393-1589 | |
Annabelle Lee Pannell, NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5607 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4601 | |
Allison Heather Stanley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 927 Happy Valley Dr, Clintwood, VA 24228 Phone: 276-926-2254 | |
Tristan Jade Yates, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 364 Hospital Dr, Clintwood, VA 24228 Phone: 276-926-0200 Fax: 276-926-6675 | |
Tammy Ann Branham, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 163 Willis Ln, Clintwood, VA 24228 Phone: 276-926-2254 |