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

Mary Immaculate Hospital LLC

Organization Nurse Practitioner · NPI 1568612265

Mary Immaculate Hospital LLC is a Nurse Practitioner in Newport News, Virginia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2 Bernardine Dr
Newport News, VA 23602-4404
Phone: (757) 947-3838
Fax: (757) 886-6757
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1568612265
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Immaculate Hospital LLC
Authorized official Wilbur Gay — Cfo · (864) 561-7672
Other names Bon Secours Palliative Medicine
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 21, 2020
Mailing address8580 Magellan Pkwy, Richmond, VA 23227-1149

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