Provider Demographics
NPI:1649013871
Name:TRISSEL, CHARITY B (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:B
Last Name:TRISSEL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 E MARKET ST STE 64B
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5197
Mailing Address - Country:US
Mailing Address - Phone:540-564-5666
Mailing Address - Fax:844-501-7984
Practice Address - Street 1:1790 E MARKET ST STE 64B
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5197
Practice Address - Country:US
Practice Address - Phone:540-564-5666
Practice Address - Fax:844-501-7984
Is Sole Proprietor?:No
Enumeration Date:2024-06-15
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190445363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily