# VANESSA FOWLKES NP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083906804
- **Authorized official:** VANESSA PEYTON FOWLKES FNP (OWNER)
- **Authorized official phone:** (804) 405-9448

## Contact information

- **Practice address:** 2447 CROWNCREST DR, HENRICO, VA 23233-2517
- **Practice address phone:** (804) 405-9448
- **Practice address fax:** (804) 482-2830
- **Mailing address:** 2447 CROWNCREST DR, RICHMOND, VA 23233-2517
- **Mailing address phone:** (804) 405-9448
- **Mailing address fax:** (804) 482-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 0024164743 | VA | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011