Individual provider · Type 1 NPI

Ena Pettyjohn, FNP-C

Nurse Practitioner · Richmond, VA

NPI number 1972339760 Active

Practice location

203 E Cary St Ste 201
Richmond, VA 23219-3746

Fax (804) 643-3817

Mailing address

7552 Beauchamp Ct
Richmond, VA 23225-1550

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF08240235 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972339760

Ena Pettyjohn, FNP-C's National Provider Identifier is 1972339760, issued on Sep 10, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Richmond, VA. The record was last updated on Jan 28, 2026.