Organization
ATARA HEALTH SOLUTIONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN M JACOBOWITZ MSN, NP-C, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(571) 535-2480
Entity
Organization
Contact information
Practice address
14631 LEE HWY STE 207, CENTREVILLE, VA 20121-5827
(571) 535-2480
Mailing address
12210 FAIRFAX TOWNE CTR STE 702, FAIRFAX, VA 22033-2877
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
04/07/2020
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