Healthcare Provider Details

I. General information

NPI: 1801365168
Provider Name (Legal Business Name): ROSMOND ADAMS OBERRY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 01/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD STE 550S
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

7325 BEAUFONT SPRINGS DR STE 210
NORTH CHESTERFIELD VA
23225-5546
US

V. Phone/Fax

Practice location:
  • Phone: 804-560-8880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024176825
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024176825
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: