Individual provider · Type 1 NPI

Tanika Janae Keagle, AGPCNP

Gerontology Nurse Practitioner · Norfolk, VA

NPI number 1265249916 Active

Practice location

721 Fairfax Ave
Norfolk, VA 23507-2007

Fax (757) 446-7049

Mailing address

721 Fairfax Ave Fl 4
Norfolk, VA 23507-2007

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024191131 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1265249916

Tanika Janae Keagle, AGPCNP's National Provider Identifier is 1265249916, issued on Dec 16, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Norfolk, VA. The record was last updated on Jul 6, 2026.