Organization
COLLABORATIVE CARE OF FLOYD, LLC
Active
Other names
Collaborative Care of Floyd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERUSALEM WALKER FNP-BC (SOLE MEMBER)
(540) 239-7311
Entity
Organization
Contact information
Practice address
1069 TIMBERLINE RD SE, COPPER HILL, VA 24079-2729
(540) 239-7311
Mailing address
1069 TIMBERLINE RD SE, COPPER HILL, VA 24079-2729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171212
VA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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