Provider Demographics
NPI:1659356004
Name:HELGESON, ALLISON BROOKS (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:BROOKS
Last Name:HELGESON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:LYNNETTE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2410 ATHERHOLT RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2148
Mailing Address - Country:US
Mailing Address - Phone:434-200-5252
Mailing Address - Fax:434-847-3645
Practice Address - Street 1:2410 ATHERHOLT RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2148
Practice Address - Country:US
Practice Address - Phone:434-200-5252
Practice Address - Fax:434-847-3645
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010081261Medicaid
VA005063M68Medicare ID - Type Unspecified