Active NPI
Arielle Renee Fannon, NP
- Nurse Practitioner
- Jonesville, VA
National Provider Identifier
1699473181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024186202
- Practice address
- 134 Hill St
Jonesville, VA 24263-7965 - Phone
- (276) 346-2011
- Fax
- (276) 346-0401
- NPI assigned
- Feb 23, 2023
- Last updated
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024186202 | VA | Primary |
Addresses
Primary practice location
134 Hill St
Jonesville, VA 24263-7965
Mailing address
PO Box 704
Dryden, VA 24243-0704
Phone (423) 579-9448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024186202 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1699473181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 704",
"city": "DRYDEN",
"state": "VA",
"postal_code": "242430704",
"telephone_number": "423-579-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 HILL ST",
"city": "JONESVILLE",
"state": "VA",
"postal_code": "242637965",
"telephone_number": "276-346-2011",
"fax_number": "276-346-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNON",
"first_name": "ARIELLE",
"middle_name": "RENEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024186202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesville, VA
- Sarah Evans, FNP
- Thomas Victor Evans, MAE, EDS, NCSP
- Family Preservation Services, Inc
- Family Preservation Services, Inc
- Family Preservations Services, Inc
- Deidra Fisher-Taylor, LCSW
- Frontier Health (Lee County Behavioral Health Services)
- Frontier Health (Lee High School)
- Kathryn Michele Gamble
- Jessica Lynn Glass, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.