Mrs Nakeshia Lynn Mouzon, FNP, PMHNP | |
533 Newtown Rd Ste 115, Virginia Beach, VA 23462-5758 | |
(757) 204-1901 | |
Not Available |
Full Name | Mrs Nakeshia Lynn Mouzon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 533 Newtown Rd Ste 115, Virginia Beach, Virginia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164788519 | NPI | - | NPPES |
1164788519 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024170001 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024170001 (Virginia) | Primary |
Entity Name | Integral Health & Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386268142 PECOS PAC ID: 8628492279 Enrollment ID: O20200716000366 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nakeshia Lynn Mouzon, FNP, PMHNP 1216 Granby St Ste 20, Norfolk, VA 23510-2622 Ph: (757) 204-1901 | Mrs Nakeshia Lynn Mouzon, FNP, PMHNP 533 Newtown Rd Ste 115, Virginia Beach, VA 23462-5758 Ph: (757) 204-1901 |
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