Nerissa Licup

INTERNAL MEDICINE

4862 Dickenson Hwy

Po Box 1810

Clintwood, VA 242281810

**NPI:** 1720269731

**Med School:** OTHER

**Experience:** 21 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

DOMINION HEALTH AND FITNESS, INC

4862 Dickenson Hwy, Po Box 1810
Clintwood, VA 242281810

Phone:

**Group ID:** 3274570908 | **Group Size:** 25 members

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

2205 Pavilion Dr, Suite 101
Kingsport, TN 376604641

Phone: (423) 392-6000

**Group ID:** 9739099441 | **Group Size:** 306 members

WELLMONT HOLSTON VALLEY MEDICAL CENTER Type: Hospital
130 WEST RAVINE ROAD
Phone: (423) 224-4000
Medicare CCN: 440017 View Profile

JOHNSON CITY MEDICAL CENTER Type: Hospital
400 N STATE OF FRANKLIN RD
Phone: (423) 431-6111
Medicare CCN: 440063 View Profile

INDIAN PATH COMMUNITY HOSPITAL Type: Hospital
2000 BROOKSIDE DR
Phone: (423) 857-7000
Medicare CCN: 440176 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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