Provider Demographics
NPI:1306020920
Name:MERCER, DAVID M (ACNP)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:MERCER
Suffix:
Gender:M
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 PREDDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22923-2826
Mailing Address - Country:US
Mailing Address - Phone:434-882-4950
Mailing Address - Fax:434-284-7839
Practice Address - Street 1:680 PREDDY CREEK RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22923-2826
Practice Address - Country:US
Practice Address - Phone:434-882-4950
Practice Address - Fax:434-284-7839
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2005453106163WW0000X
VA0024167069363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA254755OtherINSTITUTIONAL REFERRING NO.