Individual
PENNY CHRYSTAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
600 CHILDRENS LN, NORFOLK, VA 23507-1900
(757) 668-7000
Mailing address
4745 WILLIAMSBURG GLADE, WILLIAMSBURG, VA 23185-2113
(757) 329-8129
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024177131
VA
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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