Healthcare Provider Details

I. General information

NPI: 1720976574
Provider Name (Legal Business Name): APPALACHIAN MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OLD VIRGINIA AVE
RICH CREEK VA
24147-9669
US

IV. Provider business mailing address

5082 THORNSPRING RD
PULASKI VA
24301-7032
US

V. Phone/Fax

Practice location:
  • Phone: 540-235-1940
  • Fax: 540-276-6833
Mailing address:
  • Phone: 540-235-1940
  • Fax: 540-276-6833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HOLLY D. EARLES
Title or Position: FNP/OWNER
Credential: MSN, APRN, FNP-BC
Phone: 540-235-1940