Individual
MISS NINA LATASHA JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1320 LASALLE AVE, HAMPTON, VA 23669-3801
(757) 727-1820
Mailing address
924 SHORE DR, NEWPORT NEWS, VA 23607-6435
(757) 503-3069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169403
VA
Other
Enumeration date
05/18/2011
Last updated
09/22/2015
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