person
Keonte A Fisher, FNP
Family Nurse Practitioner in Norfolk, Virginia
NPI 1881039675

Keonte A Fisher is a Family Nurse Practitioner based in Norfolk, VA and is specialized in Family. Keonte A Fisher practices in Norfolk, VA and has the professional credentials of FNP. The NPI Number for Keonte A Fisher is 1881039675 and holds a License No. 0024170695 (Virginia).

The current practice location address for Keonte A Fisher is 825 Fairfax Ave, Norfolk, VA and can be reached out via phone at 757-446-7040 and via fax at 757-446-7049.

Location: 825 Fairfax Ave, Norfolk, VA, 23501-0936
person
Provider Profile Details
NPI Number
1881039675
Provider Name
Keonte A Fisher
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
825 Fairfax Ave, Norfolk, VA, 23501-0936
Phone Number
757-446-7040
Fax Number
757-446-7049
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
-022 01 VA TRICARE/CHAMPUS
PAR 01 VA CORVEL
1881039675 05 VA
1881039675 01 VA VIRGINIA PREMIER HEALTH PLAN
PAR 01 VA USA MANAGED CARE
PAR 01 VA MULTIPLAN
10111665N 01 VA OPTIMA HEALTH
1881039675 05 NC
institution
Provider Business Practice Location Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1914
Phone Number
757-446-7040
Fax Number
757-446-7049
person
Provider Business Mailing Address Details
Address
825 Fairfax Ave
City
State
Zip
23507-1914
Phone Number
757-446-7040
Fax Number
757-446-7049
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024170695 (Virginia)
Definition
Definition to come...
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