Provider Demographics
NPI:1669974424
Name:NUNN, EMILY MCKNIGHT (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:MCKNIGHT
Last Name:NUNN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:DEFOREST
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8237 AMMONETT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3205
Mailing Address - Country:US
Mailing Address - Phone:804-840-8144
Mailing Address - Fax:
Practice Address - Street 1:1602 SKIPWITH RD STE 303
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5205
Practice Address - Country:US
Practice Address - Phone:804-289-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175603363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily