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1104423946
JIMMY WAYNE SPELTS
CHESAPEAKE, VA
NPI
1104423946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024182894)
Enumeration Date
2020-10-05
Last Update Date
2021-10-13
Business Address
JIMMY WAYNE SPELTS PMHNP-BC
732 EDEN WAY N STE E507
CHESAPEAKE, VA 23320-2798
Phone number: 757-412-7840
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Mailing Address
JIMMY WAYNE SPELTS PMHNP-BC
732 EDEN WAY N STE 507
CHESAPEAKE, VA 23320-2798
Phone number: 757-609-2726
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