Individual
LAKISHA NAKITA SWINDELL-GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 534-6190
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001204598
VA
363LF0000X
Family Nurse Practitioner
Primary
0024180007
VA
Other
Enumeration date
01/08/2018
Last updated
01/27/2022
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