Individual
CHIQILLA SHANAYE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2968
(757) 393-1136
(757) 698-2499
Mailing address
4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2968
(757) 393-1136
(757) 698-2499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185222
VA
Other
Enumeration date
10/11/2022
Last updated
07/23/2024
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