Provider Demographics
NPI:1649668831
Name:NASH, REBECCA BLEVINS (FNP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:BLEVINS
Last Name:NASH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:GAIL BLEVINS
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:403 CHILHOWIE ST
Mailing Address - Street 2:PO BOX 346
Mailing Address - City:CHILHOWIE
Mailing Address - State:VA
Mailing Address - Zip Code:24319-3461
Mailing Address - Country:US
Mailing Address - Phone:276-646-3241
Mailing Address - Fax:276-646-2592
Practice Address - Street 1:403 CHILHOWIE ST
Practice Address - Street 2:
Practice Address - City:CHILHOWIE
Practice Address - State:VA
Practice Address - Zip Code:24319-3461
Practice Address - Country:US
Practice Address - Phone:276-646-3241
Practice Address - Fax:276-646-2592
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164017363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily