Provider Demographics
NPI:1942998984
Name:ISEMAN, KERRIE ANNE (FNP)
Entity Type:Individual
Prefix:
First Name:KERRIE
Middle Name:ANNE
Last Name:ISEMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KERRIE
Other - Middle Name:ANNE
Other - Last Name:LOUIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:646 OLEANDER CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4220
Mailing Address - Country:US
Mailing Address - Phone:757-589-5874
Mailing Address - Fax:
Practice Address - Street 1:5800 LAKE WRIGHT DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-1804
Practice Address - Country:US
Practice Address - Phone:866-933-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily