FOUR CROWNE LEGACY LLC
NPI 1033092903
Nurse Practitioner - Psychiatric/Mental Health in Newport News, VA
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
About FOUR CROWNE LEGACY LLC
This page provides the complete NPI Profile along with additional information for Four Crowne Legacy Llc, a provider established in Newport News, Virginia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1033092903 assigned on July 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Ednora Bradley Mason Dnp, Aprn, Pmhnp-bc (Partner)
- NPI
- 1033092903 Verify this NPI
- Provider Name
- FOUR CROWNE LEGACY LLC
- Entity Type
- Organization
- Location Address
- 6147 JEFFERSON AVE OFC 2 NEWPORT NEWS, VA 23605
- Location Phone
- (757) 504-2191
- Mailing Address
- 317 PEACH TREE CRES NEWPORT NEWS, VA 23602
- Mailing Phone
- (757) 504-2191
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2025
- Last Update Date
- 11-24-2025
- Code Navigator
A nurse practitioner (NP) like Four Crowne Legacy Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Reviews for FOUR CROWNE LEGACY LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033092903, enumerated as an "organization" on July 29, 2025.
The provider is located at 6147 JEFFERSON AVE OFC 2 NEWPORT NEWS, VA 23605 and the phone number is (757) 504-2191.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
