Individual
MARK A MOLLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5309 DISCOVERY PARK BLVD, WILLIAMSBURG, VA 23188-2789
(757) 914-6000
(757) 914-6002
Mailing address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER- FAMILY HEALTH CLINIC, FORT EUSTIS, VA 23604-1602
(757) 314-7613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24151992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010115035
—
VA
Enumeration date
08/16/2005
Last updated
04/13/2026
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