Healthcare Provider Details

I. General information

NPI: 1134005820
Provider Name (Legal Business Name): CHRISTINA ROCHE APRN, FNP-C, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12652 JEFFERSON AVE
NEWPORT NEWS VA
23602-4392
US

IV. Provider business mailing address

12652 JEFFERSON AVE
NEWPORT NEWS VA
23602-4392
US

V. Phone/Fax

Practice location:
  • Phone: 757-234-4285
  • Fax: 757-234-4260
Mailing address:
  • Phone: 757-234-4285
  • Fax: 757-234-4260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024194319
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11031942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: