YOUR NURSE PRACTITIONER PLLC

VIRGINIA BEACH, VA
NPI1801489711
Doing Business AsPANACEA BEHAVIORAL HEALTH & WELLNESS CENTER
Entity TypeOrganization
Authorized ContactSANDRA W NICHOLS
CEO
757-251-0879
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies1041C0700X Social Worker, Clinical
363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
106H00000X Marriage & Family Therapist
363LF0000X Nurse Practitioner, Family
225XM0800X Occupational Therapist, Mental Health
225XH1300X Occupational Therapist, Human Factors
101YM0800X Counselor, Mental Health
103TC0700X Psychologist, Clinical
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-02-11
Last Update Date2026-01-16
Business Address
YOUR NURSE PRACTITIONER PLLC
4360 SHORE DR STE 101
VIRGINIA BEACH, VA 23455-2994
Phone number: 757-251-0879
Mailing Address
YOUR NURSE PRACTITIONER PLLC
4360 SHORE DR STE 101
VIRGINIA BEACH, VA 23455-2994
Phone number: 757-251-0879