Individual
DR. JEMINA M LIVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
751 THIMBLE SHOALS BLVD STE B, NEWPORT NEWS, VA 23606-3563
(804) 295-8510
Mailing address
11828 CANON BLVD STE A, NEWPORT NEWS, VA 23606-2554
(804) 295-8510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174090
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024174090
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073889697
—
GA
Enumeration date
03/28/2012
Last updated
08/13/2025
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