Individual
CONESHA CHERRY GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-PC
Contact information
Practice address
1031 LOFTIS BLVD STE 201, NEWPORT NEWS, VA 23606-2981
(757) 736-9850
Mailing address
1031 LOFTIS BLVD STE 201, NEWPORT NEWS, VA 23606-2981
(757) 736-9850
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024184435
VA
363LG0600X
Gerontology Nurse Practitioner
0024184435
VA
363LP2300X
Primary Care Nurse Practitioner
0024184435
VA
Other
Enumeration date
06/13/2022
Last updated
11/22/2023
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