Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Four Crowne Legacy LLC

Organization Primary Care Clinic/Center · NPI 1033092903

Four Crowne Legacy LLC is a Primary Care Clinic/Center in Newport News, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6147 Jefferson Ave Ofc 2
Newport News, VA 23605-1511
Phone: (757) 504-2191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1033092903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ednora Mason — Partner · (757) 826-1300
Other names Crowne Initiative Services
NPI enumeratedJuly 29, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address317 Peach Tree Cres, Newport News, VA 23602-7494

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