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NANSEMOND INDIAN NATION NPI 1679279046


NPI Information

NPI: 1679279046
Provider Name: NANSEMOND INDIAN NATION

Doing Business As: FISHING POINT HEALTHCARE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 49D2298704

Address:
2929 LONDON BLVD
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 255-9317
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NANSEMOND INDIAN NATION is a general practice in Portsmouth, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NANSEMOND INDIAN NATION NPI is 1679279046. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fishing Point Healthcare.

The provider's business location address is:

2929 LONDON BLVD
PORTSMOUTH, VA
ZIP 23707-405
Phone: (757) 255-9317

The provider's authorized official is Lance Johnson .
The authorized official title is Director and has the following contact phone number (801) 631-8362.

The CLIA number assigned to this NPI record is 49D2298704 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2023 and was last updated on 1/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2251E00000XHome HealthNo
3333600000XPharmacyNo
4291U00000XClinical Medical LaboratoryNo
5208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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