OrganizationActive
Enchanted Hills Health and Wellness Center LLC
NPI 1437905155 · Primary Care Nurse Practitioner · Newport News, VA
Provider details
- NPI number
- 1437905155
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberly Mckissack, Owner(757) 405-6060
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1356 25th St
Newport News, VA 23607-4826
Phone: (757) 405-6060
Approximate (ZIP-level) locationGet directions
Mailing address
367 Manning Ln
Hampton, VA 23666-5024
Registry dates
- Enumerated
- 2024-04-24
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.