Individual
KASHEIKA MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1990 OLD BRIDGE RD STE 201, WOODBRIDGE, VA 22192-2383
(703) 492-6822
Mailing address
1990 OLD BRIDGE RD STE 201, WOODBRIDGE, VA 22192-2383
(703) 492-6822
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024183398
VA
363LP2300X
Primary Care Nurse Practitioner
11002390
FL
363LP2300X
Primary Care Nurse Practitioner
95015949
CA
Other
Enumeration date
12/04/2019
Last updated
10/12/2024
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