Individual
CHANELL TYNEALIA DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1181 FIRST COLONIAL RD STE 200, VIRGINIA BEACH, VA 23454-2437
(757) 425-1600
Mailing address
5448 CAPE HENRY AVE, NORFOLK, VA 23513-2411
(267) 694-0554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001243523
VA
363LF0000X
Family Nurse Practitioner
Primary
0024175563
VA
Other
Enumeration date
10/13/2017
Last updated
09/28/2023
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