Individual
LEILA KISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Mailing address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
(804) 256-8288
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN134622
AZ
363LF0000X
Family Nurse Practitioner
Primary
0024185864
VA
363LF0000X
Family Nurse Practitioner
AP5248
AZ
363LF0000X
Family Nurse Practitioner
APRN9493958
FL
Other
Enumeration date
09/05/2008
Last updated
04/17/2024
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