Invigorating Mind & Body Healthcare Pllc | |
610 Thimble Shoals Blvd Ste 203a Newport News VA 23606-4512 | |
(757) 775-8837 | |
(949) 561-4700 |
Full Name | Invigorating Mind & Body Healthcare Pllc |
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Speciality | Clinic/Center |
Location | 610 Thimble Shoals Blvd Ste 203a, Newport News, Virginia |
Authorized Official Name and Position | Lakeysha Renee Jenkins (NP/OWNER) |
Authorized Official Contact | 7577758837 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Invigorating Mind & Body Healthcare Pllc 610 Thimble Shoals Blvd Ste 203a Newport News VA 23606-4512 Ph: (757) 775-8837 | Invigorating Mind & Body Healthcare Pllc 610 Thimble Shoals Blvd Ste 203a Newport News VA 23606-4512 Ph: (757) 775-8837 |
NPI Number | 1467044560 |
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Provider Enumeration Date | 02/09/2021 |
Last Update Date | 03/20/2021 |
Certification Date | 03/20/2021 |
Medicare PECOS PAC ID | 3577963297 |
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Medicare Enrollment ID | O20210616002467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467044560 | NPI | - | NPPES |
Provider Name | Lakeysha R Jenkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578978847 PECOS PAC ID: 9830310515 Enrollment ID: I20141021003130 |
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