Provider Demographics
NPI:1013535079
Name:DAWSON, PATRICIA LEE (FNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3864 JAMES MADISON HWY
Mailing Address - Street 2:
Mailing Address - City:FORK UNION
Mailing Address - State:VA
Mailing Address - Zip Code:23055-2307
Mailing Address - Country:US
Mailing Address - Phone:434-989-7643
Mailing Address - Fax:
Practice Address - Street 1:3864 JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:FORK UNION
Practice Address - State:VA
Practice Address - Zip Code:23055-2307
Practice Address - Country:US
Practice Address - Phone:434-989-7643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00241555363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily