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

Ena Pettyjohn, FNP-C

Individual provider Nurse Practitioner · NPI 1972339760

Ena Pettyjohn, FNP-C is a Nurse Practitioner in Richmond, Virginia. Qualified in 2024, 2 years ago. Practices with Mid-Atlantic Kidney Center, a 5-clinician group. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

203 E Cary St Ste 201
Richmond, VA 23219-3746
Phone: (804) 643-3061
Fax: (804) 643-3817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F08240235 (VA)

Record details

NPI number1972339760
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address7552 Beauchamp Ct, Richmond, VA 23225-1550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mid-Atlantic Kidney Center — 5 clinicians
Accepts Medicare assignment Not indicated

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