Porter, Janice

Porter, Janice is an individual health care provider with primary practice located at 2148 W Mercury Blvd , Hampton VA 23666-3111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porter, Janice can be contacted via phone (757) 827-1940.

Contact Information

Primary practice address
2148 W Mercury Blvd Hampton VA 23666-3111
Fax: (757) 896-4715
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024000083 Virginia

Profile Details

NPI number 1730154501
LBN Legal business name Porter, Janice
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Aug 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730154501 NPPES
Virginia MEDICAID 1730154501

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