Provider Demographics
NPI:1316725591
Name:LOVE-SCHWARZ, KELLY JEAN (FNP-C, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:JEAN
Last Name:LOVE-SCHWARZ
Suffix:
Gender:F
Credentials:FNP-C, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3079 S JAMES RIVER HWY
Mailing Address - Street 2:
Mailing Address - City:WINGINA
Mailing Address - State:VA
Mailing Address - Zip Code:24599-3159
Mailing Address - Country:US
Mailing Address - Phone:434-390-3364
Mailing Address - Fax:
Practice Address - Street 1:3079 S JAMES RIVER HWY
Practice Address - Street 2:
Practice Address - City:WINGINA
Practice Address - State:VA
Practice Address - Zip Code:24599-3159
Practice Address - Country:US
Practice Address - Phone:434-390-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024195270363L00000X
VA0001255636163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse