Provider Demographics
NPI:1699348326
Name:EDWARDS-HAMILTON, NICOLE NATALIE (DNP PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:NATALIE
Last Name:EDWARDS-HAMILTON
Suffix:
Gender:F
Credentials:DNP PMHNP-BC
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:NATALIE
Other - Last Name:EDWARDS HAMILTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7207 VEYAN WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23237-2010
Mailing Address - Country:US
Mailing Address - Phone:804-833-8224
Mailing Address - Fax:
Practice Address - Street 1:13821 VILLAGE MILL DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4314
Practice Address - Country:US
Practice Address - Phone:804-564-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARN9473929163W00000X
VA0024190277363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty