Individual provider · Type 1 NPI

Jessica Deal, NP-C

Gerontology Nurse Practitioner · Virginia Beach, VA

NPI number 1205204583 Active

Practice location

2901 S Lynnhaven Rd, Ste 450
Virginia Beach, VA 23452

Call (757) 536-2246 Map

Fax (579) 659-8067

Mailing address

180 Carrols Ln
Clarksville, VA 23927-4202

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner	363LA2200X	5007867 (NC)
Gerontology Nurse Practitioner Primary	363LG0600X	0024183855 (VA)
Primary Care Nurse Practitioner	363LP2300X	5007867 (NC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1205204583

Jessica Deal, NP-C's National Provider Identifier is 1205204583, issued on Sep 3, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Virginia Beach, VA. The record was last updated on Apr 25, 2022.