Fowlkes, Vanessa Peyton

Fowlkes, Vanessa Peyton is an individual health care provider with primary practice located at 5116 Richmond Henrico Tpke , Richmond VA 23227-3627. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fowlkes, Vanessa Peyton can be contacted via phone (804) 613-5907.

Contact Information

Primary practice address
5116 Richmond Henrico Tpke Richmond VA 23227-3627
Phone: (804) 613-5907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024164743 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164743 Virginia

Profile Details

NPI number 1467477273
LBN Legal business name Fowlkes, Vanessa Peyton
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467477273 NPPES
Virginia MEDICAID 1467477273

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