Individual
MRS. NICEY ANN KEARNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3392
Mailing address
54 PHILMONT DR, HAMPTON, VA 23666-5505
(757) 766-1913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164637
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024164637
NURSE PRACTITONER
VA
Enumeration date
04/11/2006
Last updated
07/08/2007
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