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Individual

MR. JAMES EDWARD REASOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP, PMHCNS

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-8383
(757) 953-8186
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-8383
(757) 953-8186

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001138067
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024167448
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
0015000847
VA

Other

Enumeration date
07/06/2007
Last updated
04/20/2010
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