| Lisa Speede Mcclure, | |
|
143 Industrial Pkwy, Clarksville, VA 23927-3140 | |
| (434) 572-6916 | |
| Not Available |
| Full Name | Lisa Speede Mcclure |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 143 Industrial Pkwy, Clarksville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124715396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186346 (Virginia) | Primary |
| Entity Name | Southside Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Speede Mcclure, 257 Triple C Dr, Clarksville, VA 23927-2560 Ph: (434) 774-5743 | Lisa Speede Mcclure, 143 Industrial Pkwy, Clarksville, VA 23927-3140 Ph: (434) 572-6916 |
Colton Ryan Thames, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 | |
Thelma Jane Pealer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Clarksville Health And Rehab Center, 184 Buffalo Rd, Clarksville, VA 23927 Phone: 434-206-3100 Fax: 434-374-4491 | |
Vivia Brogden Whitfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 Fax: 434-374-4814 | |
Jessica Driggs Ruff, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 Fax: 434-374-4814 |