Provider Demographics
NPI:1962635748
Name:WATKINS, VIRGINIA H (FNP)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:H
Last Name:WATKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:R
Other - Last Name:HENLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:11011 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5937
Mailing Address - Country:US
Mailing Address - Phone:804-662-2220
Mailing Address - Fax:866-308-0519
Practice Address - Street 1:11011 W BROAD ST
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-5937
Practice Address - Country:US
Practice Address - Phone:804-662-2220
Practice Address - Fax:866-308-0519
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily