Provider Demographics
NPI:1427579903
Name:COMPASSIONATE PRIMARY HEALTH CARE AND NURSING PC
Entity Type:Organization
Organization Name:COMPASSIONATE PRIMARY HEALTH CARE AND NURSING PC
Other - Org Name:COMPASSIONATE PRIMARY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ FNP
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:707-980-0783
Mailing Address - Street 1:112 GREENMONT DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-7636
Mailing Address - Country:US
Mailing Address - Phone:707-980-0783
Mailing Address - Fax:
Practice Address - Street 1:112 GREENMONT DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-7636
Practice Address - Country:US
Practice Address - Phone:707-980-0783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care