# NEIGHBORCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COUNTRY NURSE PRACTITIONER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679210181
- **Authorized official:** MR. JASON PATRICK ITSON SR. MSN, AGACNP-BC (NURSE PRACTITONER)
- **Authorized official phone:** (540) 330-4455

## Contact information

- **Practice address:** 3133 YARDLEY DR NW, ROANOKE, VA 24012-2309
- **Practice address phone:** (540) 330-4455
- **Mailing address:** 3133 YARDLEY DR NW, ROANOKE, VA 24012-2309
- **Mailing address phone:** (540) 330-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 06/21/2022