Provider Demographics
NPI:1912972860
Name:DELLINGER, FLORENCE JEANETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:JEANETTE
Last Name:DELLINGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:JEANETTE
Other - Last Name:SHIFFLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:VA
Mailing Address - Zip Code:24465-0490
Mailing Address - Country:US
Mailing Address - Phone:540-468-6400
Mailing Address - Fax:540-468-3316
Practice Address - Street 1:120 JACKSON RIVER RD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:VA
Practice Address - Zip Code:24465
Practice Address - Country:US
Practice Address - Phone:540-468-6400
Practice Address - Fax:540-468-3316
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900173363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2599346Medicare ID - Type Unspecified