Individual
CHARESE NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14121 PARKE LONG CT STE 201, CHANTILLY, VA 20151-1647
(855) 247-1940
Mailing address
1017 HORNE AVE, PORTSMOUTH, VA 23701-3911
(757) 383-1800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002072777
VA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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