Individual
MS. AMY M STINNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5838 HARBOUR VIEW BLVD, SUITE 105, SUFFOLK, VA 23435-2663
(757) 484-0215
(757) 484-6792
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001902
STATE LICENSE
VA
Enumeration date
01/31/2007
Last updated
07/19/2010
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