Healthcare Provider Details

I. General information

NPI: 1689214157
Provider Name (Legal Business Name): CASEY PRIEST DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 THIMBLE SHOALS BLVD STE B-5
NEWPORT NEWS VA
23606-4533
US

IV. Provider business mailing address

703 THIMBLE SHOALS BLVD STE B-5
NEWPORT NEWS VA
23606-4533
US

V. Phone/Fax

Practice location:
  • Phone: 757-749-5004
  • Fax:
Mailing address:
  • Phone: 757-749-5004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF08190151
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: