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NPI Code Detail

MEDICARE: MICHELLE L GIGNAC APRN FNP-C

MEDICARE:   MICHELLE L GIGNAC  APRN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11015357FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942970223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE L GIGNAC APRN FNP-C
Provider Business Mailing Address
First Line : 6251 E VIRGINIA BEACH BLVD STE 310
Second Line :
City : NORFOLK
State : VA
Zip : 23502-2800
Country : US
Telephone Number : 757-624-0300
Fax Number : 757-612-8529
Provider Business Practice Location Address
First Line : 6251 E VIRGINIA BEACH BLVD STE 310
Second Line :
City : NORFOLK
State : VA
Zip : 23502-2800
Country : US
Telephone Number : 757-624-0300
Fax Number : 757-612-8529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2021
Last Update Date : 03/09/2026

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Directions to “ MICHELLE L GIGNAC APRN FNP-C” Practice Location

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