Individual provider · Type 1 NPI
Jimmy Wayne Spelts, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chesapeake, VA
NPI number
1104423946
Active
Practice location
732 Eden Way N Ste E507
Chesapeake, VA 23320-2798
Mailing address
732 Eden Way N Ste 507
Chesapeake, VA 23320-2798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024182894 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104423946
Jimmy Wayne Spelts, PMHNP-BC's National Provider Identifier is 1104423946, issued on Oct 5, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chesapeake, VA. The record was last updated on Oct 13, 2021.