Organization
RENEWED MINDS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA PARKER NP (NURSE PRACTITIONER)
(757) 546-4494
Entity
Organization
Contact information
Practice address
1728 VIRGINIA BEACH BLVD, SUITE 114, VIRGINIA BEACH, VA 23454
(757) 546-4494
Mailing address
904 RILEY DR, CHESAPEAKE, VA 23322-7420
(803) 466-2414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
12/18/2025
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