Individual provider · Type 1 NPI

Shauna J. Polen, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Chesapeake, VA

NPI number 1457139792 Active

Practice location

555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789

Fax (757) 257-5143

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001247271 (VA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024187787 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1457139792

Shauna J. Polen, PMHNP-BC's National Provider Identifier is 1457139792, issued on Sep 18, 2023. 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 Sep 1, 2026.