Individual
KEVINA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5360 DISCOVERY PARK BLVD STE 201, WILLIAMSBURG, VA 23188-2860
(804) 730-0432
Mailing address
5025 TWELVEOAKS RD, MIDLOTHIAN, VA 23112-2835
(757) 303-4758
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180199
VA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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