Healthcare Provider Details

I. General information

NPI: 1619459732
Provider Name (Legal Business Name): DABNEY RAGLAND WISECARVER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 S. PLEASANT VALLEY ROAD
WINCHESTER VA
22601-5152
US

IV. Provider business mailing address

224-D CORNWALL STREET, NW, SUITE 403
LEESBURG VA
20176-2704
US

V. Phone/Fax

Practice location:
  • Phone: 703-737-6010
  • Fax:
Mailing address:
  • Phone: 703-737-6010
  • Fax: 703-443-8643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024176571
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: