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Chanelle Fombo, NP
Nurse Practitioner in Williamsburg, Virginia
NPI 1851968614

Chanelle Fombo is a Nurse Practitioner based in Dallas, VA. Chanelle Fombo practices in Williamsburg, VA and has the professional credentials of NP. The NPI Number for Chanelle Fombo is 1851968614 and holds a License No. 1019684 (Virginia).

The current practice location address for Chanelle Fombo is 400 Sentara Cir Ste 201A, Williamsburg, VA and can be reached out via phone at 757-984-3975.

Location: 400 Sentara Cir Ste 201A, Williamsburg, VA, 75219-6652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851968614
Provider Name
Chanelle Fombo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
400 Sentara Cir Ste 201A, Williamsburg, VA, 75219-6652
Phone Number
757-984-3975
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
400 Sentara Cir Ste 201A
City
Williamsburg
State
Virginia
Zip
23188-5716
Phone Number
757-984-3975
Fax Number
person
Provider Business Mailing Address Details
Address
400 Sentara Cir Ste 201A
City
Williamsburg
State
Virginia
Zip
23188-5716
Phone Number
757-984-3975
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0024188872 (Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
1019684 (Texas)
Definition
Definition to come...
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