Provider Demographics
NPI:1316684228
Name:NP ON DEMAND LLC
Entity type:Organization
Organization Name:NP ON DEMAND LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:757-821-7477
Mailing Address - Street 1:4501 N WITCHDUCK RD STE E
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6217
Mailing Address - Country:US
Mailing Address - Phone:757-821-7477
Mailing Address - Fax:
Practice Address - Street 1:4501 N WITCHDUCK RD STE E
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6217
Practice Address - Country:US
Practice Address - Phone:757-821-7477
Practice Address - Fax:757-383-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare