Individual provider · Type 1 NPI

Shasta Mitchell-Holston, FNP-C

Family Nurse Practitioner · Portsmouth, VA

NPI number 1881004901 Active

Practice location

3636 High St
Portsmouth, VA 23707

Call (757) 398-2285 Map

Mailing address

36550 Chester Rd, 5404
Avon, OH 44011-1091

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	0024176097 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1881004901

Shasta Mitchell-Holston, FNP-C's National Provider Identifier is 1881004901, issued on Apr 28, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portsmouth, VA. The record was last updated on Sep 5, 2018.