| Mary Vann, | |
|
1850 Pocahontas Trl, Quinton, VA 23141-1657 | |
| (804) 932-4388 | |
| (804) 932-1003 |
| Full Name | Mary Vann |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1850 Pocahontas Trl, Quinton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669855714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024172745 (Virginia) | Primary |
| Entity Name | Chickahominy Family Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689683724 PECOS PAC ID: 7719977560 Enrollment ID: O20040525000387 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Vann, 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 | Mary Vann, 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 |
Ms. Candace Loucks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7493 Patriots Landing Pl, Quinton, VA 23141 Phone: 804-244-0459 | |
Mrs. Margaret Mountcastle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 804-932-4388 Fax: 804-932-9860 | |
Mrs. Jennifer Nicole Crockett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1460 Yakima Rd, Quinton, VA 23141 Phone: 804-814-7814 | |
Marietah Kilundo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11300 Continental Rd, Quinton, VA 23141 Phone: 804-694-9585 | |
Suzanna Hunter Goode, LNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8770 Matoaka Glen Rd, Quinton, VA 23141 Phone: 804-929-8255 | |
Jenny L Brady, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7410 Cooper Tavern Rd Ste B, Quinton, VA 23141 Phone: 804-223-3608 Fax: 804-223-3648 |