Individual provider · Type 1 NPI
Tanner Pavelka, NP
Psychiatric/Mental Health Nurse Practitioner · Portsmouth, VA
NPI number
1659233955
Active
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95036682 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659233955
Tanner Pavelka, NP's National Provider Identifier is 1659233955, issued on Nov 25, 2025. 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 Sep 17, 2026.