Organization
ALLEGIANT HEALTH SERVICES
Active
Other names
Whole Family Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYSHEENA LANEE JONES FNP-C (NURSE PRACTITIONER/OWNER)
(757) 344-0822
Entity
Organization
Contact information
Practice address
2147 OLD GREENBRIER RD, CHESAPEAKE, VA 23320-2635
(757) 306-1300
(507) 609-3013
Mailing address
4209 RAVINE GAP DR, SUFFOLK, VA 23434-3055
(757) 344-0822
(507) 609-3013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174111
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I10
MEDICARE NUMBER
VA
Enumeration date
05/29/2018
Last updated
01/22/2020
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