MEDICARE: GENISE MAXINE BINNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024177594	VA

General Provider Information

NPI Number	:	1154989408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENISE MAXINE BINNS

Provider Business Mailing Address
First Line	:	3157 CRESTWOOD LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-5946
Country	:	US
Telephone Number	:	757-778-5146
Fax Number	:

Provider Business Practice Location Address
First Line	:	3157 CRESTWOOD LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-5946
Country	:	US
Telephone Number	:	757-778-5146
Fax Number	:	757-873-0735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2019
Last Update Date	:	02/03/2026

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