Healthcare Provider Details

I. General information

NPI: 1982866620
Provider Name (Legal Business Name): CHRISTINA PERRY PARTIN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA SCOTT PERRY

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 LOFTIS BLVD STE 100
NEWPORT NEWS VA
23606-3069
US

IV. Provider business mailing address

6350 CENTER DR STE 200
NORFOLK VA
23502-4107
US

V. Phone/Fax

Practice location:
  • Phone: 757-873-9400
  • Fax: 757-873-9420
Mailing address:
  • Phone: 757-213-5700
  • Fax: 757-213-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110008427
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number103996
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: