Individual
JACOB TYREE CASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
320 FEDERAL ST, LYNCHBURG, VA 24504-2306
(434) 947-5967
Mailing address
358 BEARFIELD RD, AMHERST, VA 24521-3986
(434) 941-8091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179880
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2020
Last updated
08/13/2020
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