Individual
KORNISHA CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ENGLE AVE, CHESAPEAKE, VA 23320-2204
(757) 560-9738
Mailing address
1800 ENGLE AVE, CHESAPEAKE, VA 23320-2204
(757) 560-9738
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190619
VA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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