Individual
RENEE ELAINE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7611 FOREST AVE STE 100A, RICHMOND, VA 23229-4946
(804) 288-4827
(804) 288-4494
Mailing address
8001 FRANKLIN FARMS DR RM 130, RICHMOND, VA 23229-5100
(804) 288-4827
(804) 288-4494
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024169517
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
04/27/2011
Last updated
04/25/2025
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