Organization · Type 2 NPI
Shining Star Psychiatric Care LLC
Psychiatric/Mental Health Nurse Practitioner · Richmond, VA
NPI number
1053149211
Active
Practice location
2807 N Parham Rd Ste 311
Richmond, VA 23294-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053149211
Shining Star Psychiatric Care LLC's National Provider Identifier is 1053149211, issued on Jul 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, VA. The record was last updated on Sep 2, 2025.