| Stephanie Lane Porter, FNP-BC | |
|
3721 S Amherst Hwy, Madison Heights, VA 24572-5985 | |
| (434) 202-4318 | |
| (434) 300-5562 |
| Full Name | Stephanie Lane Porter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3721 S Amherst Hwy, Madison Heights, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023622149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024179655 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024179655 (Virginia) | Primary |
| Entity Name | Credence Behavioral Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912692096 PECOS PAC ID: 0345606224 Enrollment ID: O20230518002557 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Lane Porter, FNP-BC Po Box 1187, Madison Heights, VA 24572-1187 Ph: (434) 202-4318 | Stephanie Lane Porter, FNP-BC 3721 S Amherst Hwy, Madison Heights, VA 24572-5985 Ph: (434) 202-4318 |
Jennifer Lynn Shumate, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Elon Rd, Madison Heights, VA 24572 Phone: 434-455-2480 | |
Brenda Jean Kozak, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Clearview Rd, Madison Heights, VA 24572 Phone: 434-929-1400 | |
Duane Kresge, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 134 Elon Rd, Madison Heights, VA 24572 Phone: 434-455-2480 Fax: 434-455-2487 | |
Sandra Esther Zuker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Clearview Rd, Madison Heights, VA 24572 Phone: 434-455-2480 | |
Mrs. Carin Schofield, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Oakwood Dr, Suitea, Madison Heights, VA 24572 Phone: 434-846-8421 Fax: 434-846-2655 | |
Kimberly Stead, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 109 Clearview Rd, Madison Heights, VA 24572 Phone: 434-455-2480 |