Individual
MRS. AMESHA RENEE WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
549 E BRAMBLETON AVE, NORFOLK, VA 23510-2905
(757) 678-2001
Mailing address
549 E BRAMBLETON AVE, NORFOLK, VA 23510-2905
(757) 678-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024180214
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024180214
VA
Other
Enumeration date
09/24/2020
Last updated
06/02/2023
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