Individual provider · Type 1 NPI
Jessica Hively, MSN, RN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA
NPI number
1154791507
Active
Practice location
4400 University Dr
Fairfax, VA 22030-4445
Fax (703) 993-2378
Mailing address
9900 Main St Ste 400
Fairfax, VA 22031-3907
Other practice locations
- 9900 Main St Ste 400, Fairfax, VA 22031-3907 · (703) 993-1370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001323812 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024186971 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1154791507
Jessica Hively, MSN, RN, PMHNP-BC's National Provider Identifier is 1154791507, issued on Sep 28, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairfax, VA. The record was last updated on Sep 30, 2025.