| Tristan Jade Yates, FNP-C | |
|
364 Hospital Dr, Clintwood, VA 24228-6786 | |
| (276) 926-0200 | |
| (276) 926-6675 |
| Full Name | Tristan Jade Yates |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 364 Hospital Dr, Clintwood, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497205355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024174065 (Virginia) | Primary |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20211115002535 |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Jade Yates, FNP-C 364 Hospital Dr, Clintwood, VA 24228-6786 Ph: (276) 926-0200 | Tristan Jade Yates, FNP-C 364 Hospital Dr, Clintwood, VA 24228-6786 Ph: (276) 926-0200 |
Janice Payne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 Hospital Drive, Clintwood, VA 24226 Phone: 276-926-0200 | |
Mrs. Christy Jolene Lambert, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 Hospital Dr, Clintwood, VA 24228 Phone: 276-926-0300 | |
Loleatta B. Linkous, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 557 Clintwood Main St., Clintwood, VA 24228 Phone: 276-393-1589 | |
Annabelle Lee Pannell, NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5607 Dickenson Hwy, Clintwood, VA 24228 Phone: 276-926-4601 | |
Allison Heather Stanley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 927 Happy Valley Dr, Clintwood, VA 24228 Phone: 276-926-2254 | |
Tammy Ann Branham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 Willis Ln, Clintwood, VA 24228 Phone: 276-926-2254 |