Provider Demographics
NPI:1982925277
Name:FOX, CHARLENE JONES (LNP)
Entity Type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:JONES
Last Name:FOX
Suffix:
Gender:F
Credentials:LNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-6518
Mailing Address - Country:US
Mailing Address - Phone:804-266-6662
Mailing Address - Fax:804-266-6667
Practice Address - Street 1:1296 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-6518
Practice Address - Country:US
Practice Address - Phone:804-266-6662
Practice Address - Fax:804-266-6667
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024111279363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner