Organization
ELITE FAITH MOBILE MEDICAL CLINIC PLLC
Active
Organization
ELITE FAITH MOBILE MEDICAL CLINIC PLLC
Active
Other names
Elite Faith Mobile Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SHEPHERD DNP, FNP-C (FOUNDER AND CEO)
(434) 989-0484
Entity
Organization
Contact information
Practice address
95 KYLE CT, GORDONSVILLE, VA 22942-6249
(434) 989-0484
Mailing address
95 KYLE CT, GORDONSVILLE, VA 22942-6249
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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