| Lyela Chanel Sullenger, DNP, APRN, FNP-C | |
|
205 Page Rd, Pinehurst, NC 28374 | |
| (910) 235-3139 | |
| Not Available |
| Full Name | Lyela Chanel Sullenger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 205 Page Rd, Pinehurst, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760165823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 892959 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5021006 (North Carolina) | Primary |
| Entity Name | Pinehurst Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyela Chanel Sullenger, DNP, APRN, FNP-C 205 Page Rd, Pinehurst, NC 28374 Ph: (910) 235-3139 | Lyela Chanel Sullenger, DNP, APRN, FNP-C 205 Page Rd, Pinehurst, NC 28374 Ph: (910) 235-3139 |
Emily Katherine Pellegrini, NP (AGPCNP) Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-5901 Fax: 910-715-5902 | |
Heather Patterson Blackburn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-5511 | |
Rex Boyson Patulin Olpoc, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Regional Dr Ste D, Pinehurst, NC 28374 Phone: 910-221-7195 | |
Jessica Coder, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 145 Applecross Rd, Pinehurst, NC 28374 Phone: 910-692-7928 | |
Sarah Elizabeth Weaver, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Regional Dr, Pinehurst, NC 28374 Phone: 910-255-4400 | |
Michelle Marie Trexler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-2164 | |
Jens Kersten Palmer, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 293 Olmsted Blvd, Suite 4, Pinehurst, NC 28374 Phone: 910-295-3200 Fax: 910-295-3222 |