Individual
ENA PETTYJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
203 E CARY ST STE 201, RICHMOND, VA 23219-3746
(804) 643-3061
(804) 643-3817
Mailing address
7552 BEAUCHAMP CT, RICHMOND, VA 23225-1550
(804) 815-5399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F08240235
VA
Other
Enumeration date
09/10/2024
Last updated
01/28/2026
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