Individual
JUSTIN T RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE, VA 23320-3904
(757) 547-9334
(757) 819-6292
Mailing address
5265 PROVIDENCE RD STE 500, VIRGINIA BEACH, VA 23464-4210
(757) 467-9500
(757) 467-9560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0001204117
VA
Other
Enumeration date
03/07/2011
Last updated
09/27/2020
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