Healthcare Provider Details

I. General information

NPI: 1902293723
Provider Name (Legal Business Name): EMILY M. DUFFY APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FAIRVIEW DR
FRANKLIN VA
23851-1238
US

IV. Provider business mailing address

501 MORRIS ST 3 WEST ADMINISTRATION
CHARLESTON WV
25301-1326
US

V. Phone/Fax

Practice location:
  • Phone: 757-516-1153
  • Fax: 757-516-1154
Mailing address:
  • Phone: 304-388-3574
  • Fax: 304-388-6481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024176599
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024176599
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN68679NP
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: