Provider Demographics
NPI:1770946048
Name:KNIGHT, VIRGINIA ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:ANNE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:VIRGINIA
Other - Middle Name:ANNE
Other - Last Name:DUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:2060 DAN PROCTOR DR STE 2100
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-3895
Mailing Address - Country:US
Mailing Address - Phone:912-882-6767
Mailing Address - Fax:912-882-6411
Practice Address - Street 1:2060 DAN PROCTOR DR STE 2100
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3895
Practice Address - Country:US
Practice Address - Phone:912-882-6767
Practice Address - Fax:912-882-6411
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN122292363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily