MEDICARE: MRS. JOANNE JAMES MCELROY FAMILY NURSE PRACTIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0024167521	VA

General Provider Information

NPI Number	:	1508051509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNE JAMES MCELROY FAMILY NURSE PRACTIT

Provider Business Mailing Address
First Line	:	204 EAST WASHINGTON STREET
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2718
Country	:	US
Telephone Number	:	540-463-5055
Fax Number	:	540-463-1079

Provider Business Practice Location Address
First Line	:	204 EAST WASHINGTON STREET
Second Line	:	DNA
City	:	LEXINGTON
State	:	VA
Zip	:	24450-2718
Country	:	US
Telephone Number	:	540-463-5055
Fax Number	:	540-463-1079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/12/2007

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