Individual
MRS. NIKETA BAKER MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 541-3286
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187613
VA
Other
Enumeration date
11/14/2020
Last updated
04/10/2024
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