Provider Demographics
NPI:1437769627
Name:MURRAY, KENITA (DNP,FNP-BC, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KENITA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DNP,FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 FIRST COLONIAL ROAD SUITE 308
Mailing Address - Street 2:BOX 4651
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451
Mailing Address - Country:US
Mailing Address - Phone:757-769-0571
Mailing Address - Fax:757-432-3199
Practice Address - Street 1:550 FIRST COLONIAL ROAD SUITE 308
Practice Address - Street 2:4651
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451
Practice Address - Country:US
Practice Address - Phone:757-769-0571
Practice Address - Fax:757-432-3199
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180131363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily