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

Latisha Renee Petty

Individual provider Primary Care Nurse Practitioner · NPI 1245199280

Latisha Renee Petty is a Primary Care Nurse Practitioner in Petersburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

1429 Halifax St
Petersburg, VA 23803-5933
Phone: (540) 748-6048
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 0024195858 (VA)

Record details

NPI number1245199280
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address1429 Halifax St, Petersburg, VA 23803-5933

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