Individual
PEGGIE L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP FNP-BC
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-2273
(434) 584-5517
Mailing address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-2273
(434) 584-5517
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024166112
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010104998
—
VA
01
—
010105013
VA PREMIER
VA
05
—
010105013
—
VA
05
—
010252849
—
VA
01
—
P00362126
CC RR MEDICARE
VA
Enumeration date
06/22/2005
Last updated
02/03/2026
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