Individual
JANICE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2148 W MERCURY BLVD, HAMPTON, VA 23666-3111
(757) 827-1940
(757) 896-4715
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024000083
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730154501
—
VA
Enumeration date
02/23/2006
Last updated
08/28/2008
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