Mary A Clark, NP | |
17385 Lankford Hwy, Parksley, VA 23421-3882 | |
(757) 665-5996 | |
Not Available |
Full Name | Mary A Clark |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17385 Lankford Hwy, Parksley, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518945732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0050-02432 (North Carolina) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
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Mary A Clark, NP 312 South Main St, Stantonsburg, NC 27883 Ph: (252) 238-2757 | Mary A Clark, NP 17385 Lankford Hwy, Parksley, VA 23421-3882 Ph: (757) 665-5996 |
Megan Campbell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17385 Lankford Hwy, Parksley, VA 23421 Phone: 757-665-5996 Fax: 757-665-5973 | |
Monica Boole Layne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17835 Lankford Highway, Parksley, VA 23421 Phone: 757-665-5996 Fax: 757-665-5973 | |
Holly Lynn Matthews, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24421 Callen Street, Parksley, VA 23421 Phone: 757-710-1437 | |
Mrs. Virginia Annette Brock, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19056 Greenbush Rd, Parksley, VA 23421 Phone: 757-655-1260 Fax: 757-665-4015 |