Provider Demographics
NPI:1316271620
Name:FOX, MARK WILLIAM (MSN FNP-C)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:WILLIAM
Last Name:FOX
Suffix:
Gender:M
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2322 BLUE STONE HILLS DR STE 260
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5403
Mailing Address - Country:US
Mailing Address - Phone:540-908-2555
Mailing Address - Fax:540-784-4418
Practice Address - Street 1:2322 BLUE STONE HILLS DR STE 260
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5403
Practice Address - Country:US
Practice Address - Phone:540-908-2555
Practice Address - Fax:540-784-4418
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168492363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024168492OtherVIRGINIA NP LICENSE