Lynne Powers Ailor, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fredericksburg, VA
NPI 1508898826 · NPPES record last updated Feb 2, 2011
Key facts
- NPI
- 1508898826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0024165972 (VA)
- Practice address
- 600 Jackson St
Fredericksburg, VA 22401-5719 - Phone
- (540) 899-4371
- Fax
- (540) 371-3753
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001500756 | VA | MD | Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024165972 | VA | Yes |
| Clinical Nurse Specialist | 364S00000X | 001500756 | VA |
Addresses
Primary practice location
600 Jackson St
Fredericksburg, VA 22401-5719
Mailing address
401 Blackwater TRL
Caret, VA 22436-2241
Phone (804) 443-6979
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All providers in Fredericksburg, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.