Individual provider · Type 1 NPI
Shatara Jewell
Psychiatric/Mental Health Nurse Practitioner · Portsmouth, VA
NPI number
1124986112
Active
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11044526 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124986112
Shatara Jewell's National Provider Identifier is 1124986112, issued on Jan 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portsmouth, VA. The record was last updated on Oct 5, 2026.