Individual
MRS. ALISA PATRICE MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Mailing address
5413 BALFOR DR, VIRGINIA BEACH, VA 23464-2408
(757) 776-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024186234
VA
364S00000X
Clinical Nurse Specialist
Primary
0024186234
VA
Other
Enumeration date
10/20/2022
Last updated
01/16/2025
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