| Shannon Southard, NP | |
|
618 Hospital Rd, Tappahannock, VA 22560-5000 | |
| (804) 827-9357 | |
| Not Available |
| Full Name | Shannon Southard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 618 Hospital Rd, Tappahannock, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972226025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024185350 (Virginia) | Primary |
| Entity Name | Cmh Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Southard, NP 8513 Leveret Ln, North Chesterfield, VA 23235-5484 Ph: (804) 814-4636 | Shannon Southard, NP 618 Hospital Rd, Tappahannock, VA 22560-5000 Ph: (804) 827-9357 |
Ms. Pamela R Webb, FNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1362 Tappahannock Blvd, Tappahannock, VA 22560 Phone: 804-443-5378 Fax: 804-443-9667 | |
Chad S Forrester, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560 Phone: 804-443-6063 Fax: 804-443-6005 | |
Abigail Schmalz, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560 Phone: 804-443-6063 Fax: 804-443-6005 | |
Emily Robinson, MSN APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Mt Clement Park Ste C, Tappahannock, VA 22560 Phone: 804-443-8610 Fax: 804-443-6005 | |
Patrick Bruce Hill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 Fax: 804-443-6150 | |
Caroline Dorothy Goode, LNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pavilion A, 659 Hospital Rd,, Tappahannock, VA 22560 Phone: 804-443-6020 | |
Constance C Gilman, RN, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 |