| Nancy D Davidson, NURSE PRACTITIONER | |
|
12301 Grapefield Rd, Bastian, VA 24314-4547 | |
| (276) 688-4331 | |
| (276) 688-4336 |
| Full Name | Nancy D Davidson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 12301 Grapefield Rd, Bastian, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982691382 | NPI | - | NPPES |
| 1104800671 | Medicaid | VA | |
| 7104188000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2021101359 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 33507 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Highlands Community Mental Health Center Inc | 4486629235 | 14 |
| Entity Name | Southern Highlands Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740234673 PECOS PAC ID: 4486629235 Enrollment ID: O20040826000703 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy D Davidson, NURSE PRACTITIONER Po Box 423, Anawalt, WV 24808-0423 Ph: (304) 383-2594 | Nancy D Davidson, NURSE PRACTITIONER 12301 Grapefield Rd, Bastian, VA 24314-4547 Ph: (276) 688-4331 |
Samantha Dion Richardson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 Fax: 276-688-4336 | |
Lynn M. Patton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 Fax: 276-688-4336 | |
Mrs. Angela Nicole Hutchinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-2626 Fax: 276-688-4336 | |
Deborah S Croy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 Fax: 276-688-4336 | |
Sharon Cecil, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 Fax: 276-688-4336 | |
Angela Stroupe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 | |
Mrs. Mary A Grimmett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 Fax: 276-688-4336 |