Provider Demographics
NPI:1942968714
Name:CYPRESS, KENYA DANIELLE (FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:KENYA
Middle Name:DANIELLE
Last Name:CYPRESS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 N NANSEMOND ST APT 4
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-2143
Mailing Address - Country:US
Mailing Address - Phone:434-262-9128
Mailing Address - Fax:
Practice Address - Street 1:16 DELFAE DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-4281
Practice Address - Country:US
Practice Address - Phone:804-333-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182354363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily