Healthcare Provider Details

I. General information

NPI: 1700893260
Provider Name (Legal Business Name): JOAN INGRAM KNOX NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BROAD ROCK BLVD
RICHMOND VA
23249-0001
US

IV. Provider business mailing address

14306 SONNENBURG DR
CHESTER VA
23831-7072
US

V. Phone/Fax

Practice location:
  • Phone: 804-675-5000
  • Fax: 804-675-5022
Mailing address:
  • Phone: 804-768-1354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024065065
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024065065
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: