Provider Demographics
NPI:1457750267
Name:HANCOCK, VIRGINIA (DNP, RN,FNP-C)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:DNP, RN,FNP-C
Other - Prefix:MS
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:SCHLAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:FAISON
Mailing Address - State:NC
Mailing Address - Zip Code:28341-0187
Mailing Address - Country:US
Mailing Address - Phone:910-267-2042
Mailing Address - Fax:855-996-9090
Practice Address - Street 1:4114 DR M L KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-772-9995
Practice Address - Fax:910-267-8931
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC180670363LC1500X, 363LC1500X
NC5007410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1457750267Medicaid