Organization
ACROSS THE LIFESPAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANILLYA WILKERSON PARTRIDGE (PRESIDENT)
(336) 694-1924
Entity
Organization
Contact information
Practice address
293 MAIN ST, YANCEYVILLE, NC 27379-8781
(336) 504-6808
Mailing address
PO BOX 3058, ROXBORO, NC 27573-3058
(336) 504-6808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LF0000X
Family Nurse Practitioner
Primary
5006150
NC
Other
Enumeration date
12/22/2014
Last updated
06/30/2022
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