Individual
ALLISON MARIE LONGEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
13700 ST FRANCIS BLVD STE 600, MIDLOTHIAN, VA 23114-3223
(804) 794-6400
Mailing address
13710 ST FRANCIS BLVD STE 600, MIDLOTHIAN, VA 23114-3267
(804) 794-6400
(804) 897-0910
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024184677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024184677
VA LICENSE
VA
01
—
2022012497
ANCC
—
Enumeration date
07/12/2022
Last updated
06/22/2023
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