Healthcare Provider Details

I. General information

NPI: 1912972860
Provider Name (Legal Business Name): FLORENCE JEANETTE DELLINGER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FLORENCE JEANETTE SHIFFLETT FNP-C

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 09/27/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 JACKSON RIVER RD
MONTEREY VA
24465
US

IV. Provider business mailing address

PO BOX 490
MONTEREY VA
24465-0490
US

V. Phone/Fax

Practice location:
  • Phone: 540-468-6400
  • Fax: 540-468-3316
Mailing address:
  • Phone: 540-468-6400
  • Fax: 540-468-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number900173
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: