Individual provider · Type 1 NPI
Tannica Ball, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Virginia Beach, VA
NPI number
1629686647
Active
Practice location
101 N Lynnhaven Rd Ste 302
Virginia Beach, VA 23452-7523
Mailing address
4209 Quailshire Ct
Chesapeake, VA 23321-3195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1223924 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024180886 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629686647
Tannica Ball, PMHNP's National Provider Identifier is 1629686647, issued on Jul 15, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Virginia Beach, VA. The record was last updated on Jun 10, 2025.