MR. JOHN WAYNE LILLY JR.


Address: 330 N. Eisenhower Dr., Beckley, WV 25801-3140
Phone: 3049290786

MR. JOHN WAYNE LILLY JR. (NPI# 1346510716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346510716
Entity Type Individual
Full Name MR. JOHN WAYNE LILLY JR.
Other Name MR. JOHN WAYNE LILLY
Credential APRN, FNP-BC
Practice Address 330 N. Eisenhower Dr.
Beckley
WV 25801-3140
Mailing Address 330 N Eisenhower Dr
Beckley
WV 25801-4141
Practice Telephone 3049290786
Practice Fax Number 3049292278
Mailing Telephone 3049290786
Mailing Fax Number 3049292278
Enumeration Date 2012-01-03
Last Update Date 2014-06-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
64742 WV Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOHN LILLY

NPI Name Taxonomy Address Enumeration
1023169620 John Paul Lilly Social Worker 286 S 600 E, Suite C, Provo, UT 84606-4779 2007-01-12
1528051711 John Richard Lilly Family Medicine 5804 Baltimore Ave, Hyattsville, MD 20781-1623 2005-08-24
1942704564 John Lilly IIi Student in an Organized Health Care Education/Training Program 1155 Mill St # W11, Reno, NV 89502-1576 2018-03-19
1699816298 John D. Lilly Family Medicine 2730 E Sunshine St, Springfield, MO 65804-2047 2007-02-08
1144281585 John Preston Lilly Jr. Internal Medicine 1100 Grosscup Ave, Dunbar, WV 25064-3120 2006-03-28

Office Location

Street Address 330 N. EISENHOWER DR.
City BECKLEY
State WV
Zip Code 25801-3140

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144835190 Misty Dawn Chambers Psychologist 154 Lagoon Way, Beckley, USA 25801 2020-09-15
1912511437 Katherine Lynne Mcghee Technician 120 Schlager Dr., Beckley, WV 25801 2020-09-02
1255942421 Tyesha Burger Technician 442 Industrial Dr, Beckley, WV 25801 2020-08-12
1053920553 Angela Sanches Case Manager/Care Coordinator 134 Gooseberry Ln, Beckley, WV 25801 2020-07-30
1871119933 Tiffani Michelle Dale Counselor 111 Coral Court, Apt 5, Beckley, WV 25801 2020-06-24
1679046049 Liberty Dental Centers Dentist 102 Galleria Plaza, Beckley, WV 25801 2019-01-08
1952884942 Susan Rae Rash Nurse Practitioner 250 Stanaford Rd Ste 203, Beckley, WV 25801 2018-09-14
1689169039 Megan Rae Walker Dentist 3153 Robert C. Byrd Drive, Beckley, WV 25801 2018-06-28
1104318625 Mountain State Vascular, Inc. Surgery 121 George Street, Beckley, WV 25801 2018-05-31
1356841100 Harper Road Treatment Center LLC Family Medicine 1802 Harper Rd Ste 202, Beckley, WV 25801 2018-02-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508418062 Tiffanie Renee' Snyder Nurse Practitioner 300 Carriage Dr, Beckley, WV 25801-2812 2019-07-15
1467946350 Christy Renae Smith Nurse Practitioner 250 Stanaford Rd Ste 209, Beckley, WV 25801-3140 2018-06-14
1730607870 King's Willness and Weight Loss Centers LLC Nurse Practitioner 111 Morning Star Lane, Beckley, WV 25801-7118 2017-09-08
1366891723 Inspire Health Nurse Practitioner 409 North Kanawha St., Beckley, WV 25801-3856 2016-06-07
1164817763 Rural Acres Infusion, LLC Nurse Practitioner 117 Rural Acres Dr, Beckley, WV 25801-3579 2015-03-31
1790059459 Michelle Ellis Nurse Practitioner 3157 Robert C. Byrd Dr., Beckley, WV 25801 2012-02-28
1437429362 Peggy Jane Huffman Nurse Practitioner 3771 Robert C Byrd Dr, Box 1307, Beckley, WV 25801-2945 2012-01-10
1598992943 Angel L Stover Nurse Practitioner 1810 Harper Rd, Ste A, Beckley, WV 25801-3331 2009-06-12
1710113022 Cheryl Ann Winter Nurse Practitioner 111 Randolph St, Beckley, WV 25801-5962 2009-06-02
1508018896 Jill Ann Blake Nurse Practitioner 3771 Robert C. Byrd Drive, Beckley, WV 25801 2008-10-17
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Competitor

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City BECKLEY
Zip Code 25801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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