Organization · Type 2 NPI
Tranquil Life Psychiatric Services
Psychiatric/Mental Health Nurse Practitioner · Blackstone, VA
NPI number
1982403630
Active
Practice location
401 Church St
Blackstone, VA 23824-1603
Fax (434) 218-4393
Mailing address
1932 Piedmont Rd
Suffolk, VA 23435-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1982403630
Tranquil Life Psychiatric Services's National Provider Identifier is 1982403630, issued on Mar 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Blackstone, VA. The record was last updated on Aug 21, 2025.