Individual
SELENE EPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
711 PARKSIDE DR, NEWPORT NEWS, VA 23608-8269
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001308792
VA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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