Individual
SERENA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-1000
Mailing address
3920 ORDINARY LOOP, HAYES, VA 23072-2955
(804) 832-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024192820
VA
Other
Enumeration date
03/05/2025
Last updated
03/06/2025
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