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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATISHA RENEE PETTY

Active Sole Proprietor

LATISHA RENEE PETTY is a Primary Care Nurse Practitioner healthcare provider located in PETERSBURG, Virginia. NPI 1245199280 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · PETERSBURG, VA

Registration Details

NPI Number
1245199280
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2026 (0.53257936004392 yrs)
Last Updated
Jan 16, 2026
License
0024195858 (VA)
Sole Proprietor
Yes

Practice Information

Address
1429 HALIFAX ST
PETERSBURG, VA, 238035933
Browse VA providers · Browse ZIP 23803
Phone
5407486048
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in PETERSBURG, VA

Name Credential NPI
MS. LOIS ENGELBERGER ANP 1316925852
MRS. SHAWN L BURROW NP-C 1548490337
VERONICA PEGRAM 1992454805
KATHLEEN JOY WILLIAMS NP 1508504705
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.